DR. SARAH JANE LEITZ (M.D) – Addiction Medicine (Internal Medicine) Physician, NPI 1306013776
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,474 INTERNAL MEDICINE in OR
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Provider Addresses for DR. SARAH JANE LEITZ (M.D)
Gateway Medical Office, 1700, Northeast 102nd Avenue, Woodland Park, Portland, Metro, Multnomah County, Oregon, 97220, United States
PORTLAND, OR 972203804
Phone: (617) 894-2306
Type: Mailing
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 972322099
Phone: (800) 813-2000
Type: Mailing
3550 N INTERSTATE AVE
PORTLAND, OR 972271097
Phone: (800) 813-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120410000524 | I | Internal Medicine | OR | TBD |
| I20231201001394 | I | Addiction Medicine | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| Emergency Medicine | OR | |
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology | OR | |
| D E R M A T O L O G Y | WA | |
| - | OR | |
| - | CA | |
| General Surgery | CA | |
| - | OR |
Reviews
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