DR. JERRY LIN (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1215132717

DR. JERRY LIN (D.O.) is a healthcare provider. based in Tualatin, Oregon. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.O.. They hold a License No. DO218274 (OR). The NPI Number for DR. JERRY LIN (D.O.) is 1215132717

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY LIN (D.O.)
NPI
1215132717
Phone
(503) 654-5636
Address
19255 SW 65TH AVE STE 110
Enumeration Date
15 June 2007
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413869500205
Graduation Year
2005 (21 years ago)
PAC ID
9739237827
Group Practice PAC ID
2062595796
Professional Enrollment ID
I20250416002649
Address ID
OR970629717TU19255AVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

125 PHYSICAL MEDICINE AND REHABILITATION in OR

Provider Addresses for DR. JERRY LIN (D.O.)

  • 19255 SW 65TH AVE STE 110

    TUALATIN, OR 970629717

    Phone: (503) 654-5636

    Type: Mailing

  • 324, Gannett Drive, South Portland, Cumberland County, Maine, 04106, United States

    SUITE 200

    SOUTH PORTLAND, ME 041063270

    Phone: (207) 482-7800

    Type: Mailing

  • Summit Natural Gas, 442, Civic Center Drive, North Augusta, Augusta, Kennebec County, Maine, 04330, United States

    AUGUSTA, ME 043308572

    Phone: (207) 624-4800

    Fax: (207) 624-4835

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $293.

Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Medtronic, Inc. ($274).

Total Amount

$293

General + Research + Ownership

Payments

4

Total payment records

General Amount

$293

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$274
Nevro Corp.$19
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250416002649IPhysical Medicine And RehabilitationORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9738$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4921$0
62323Injection of substance into lower spine canal using imaging guidance3832$0
99213Established patient office or other outpatient visit, 20-29 minutes3631$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 97062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062595796View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Physician AssistantOR
Physical Medicine And RehabilitationCA
Interventional Pain ManagementOR
Physician AssistantOR
Physical Medicine And Rehabilitation, Pain ManagementOR
Physician AssistantOR
General Practice, Preventive MedicineOR
Physician AssistantOR
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JERRY LIN (D.O.)?
DR. JERRY LIN (D.O.) — NPI 1215132717 — is the standard way to identify this listing.
Does the file indicate DR. JERRY LIN (D.O.) is practicing under active NPI?
Directory data currently reports DR. JERRY LIN (D.O.) as active.
What is DR. JERRY LIN (D.O.)'s specialty?
The listing groups DR. JERRY LIN (D.O.) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JERRY LIN (D.O.) based?
DR. JERRY LIN (D.O.) is tied to Tualatin, Oregon in the data we show; additional addresses may exist on the full record.
Is the information about DR. JERRY LIN (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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