DR. PAUL JEFFREY AANDERUD (D.O.) – Dermatology Physician, NPI 1255569273

DR. PAUL JEFFREY AANDERUD (D.O.) is a healthcare provider. based in Clackamas, Oregon. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101018458 (MI). The NPI Number for DR. PAUL JEFFREY AANDERUD (D.O.) is 1255569273

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL JEFFREY AANDERUD (D.O.)
NPI
1255569273
Phone
(503) 654-7546
Address
9775 SE SUNNYSIDE RD STE 500
Enumeration Date
29 June 2009
Last Update Date
8 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036547546
Graduation Year
2005 (21 years ago)
PAC ID
1658512371
Group Practice PAC ID
4183618440
Professional Enrollment ID
I20130723000547
Address ID
OR970601490TR1620XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

232 DERMATOLOGY in OR

Provider Addresses for DR. PAUL JEFFREY AANDERUD (D.O.)

  • 9775 SE SUNNYSIDE RD STE 500

    CLACKAMAS, OR 970155724

    Phone: (503) 654-7546

    Fax: (503) 786-3542

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $904.

Total Amount is formed as General ($904) + Research ($0) + Ownership ($0) = $904.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($213).

Total Amount

$904

General + Research + Ownership

Payments

44

Total payment records

General Amount

$904

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-07-23

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
I20130723000547IDermatologyORTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,559312$0
99213Established patient office or other outpatient visit, 20-29 minutes685581$0
17000Destruction of precancer skin growth, 1 growth508412$0
17110Destruction of skin growth, 1-14 growths301277$0
99212Established patient office or other outpatient visit, 10-19 minutes142130$0
View full utilization report →

Insurance plans in this area (ZIP 97015)

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Provider's Procedures

DR. PAUL JEFFREY AANDERUD (D.O.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYOR13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet6257
DERMATOLOGYOR14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1514
DERMATOLOGYOR17003Destruction of 2-14 skin growths2770393

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: 4183618440View full group profile
NameSpecialtyState
Physician AssistantOR
Physician AssistantCA
D E R M A T O L O G YMI
Physician AssistantOR
Physician AssistantOR
Physician AssistantOR
Physician AssistantNM
Physician AssistantOR
-WI
D E R M A T O L O G YOR

Reviews

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Frequently asked questions

Does DR. PAUL JEFFREY AANDERUD (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PAUL JEFFREY AANDERUD (D.O.) uses 1255569273.
Can I rely on DR. PAUL JEFFREY AANDERUD (D.O.) being an active provider?
As of the registry snapshot, DR. PAUL JEFFREY AANDERUD (D.O.) is marked active.
What healthcare role does DR. PAUL JEFFREY AANDERUD (D.O.) hold?
Scheduling teams often label DR. PAUL JEFFREY AANDERUD (D.O.) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. PAUL JEFFREY AANDERUD (D.O.) serve?
DR. PAUL JEFFREY AANDERUD (D.O.)'s listing highlights Clackamas, Oregon; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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