DR. MICHELLE L JOHN (M.D.) – Internal Medicine Physician, NPI 1336108208
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. MICHELLE L JOHN (M.D.)
1414, Northeast Hancock Street, Irvington, Portland, Multnomah County, Oregon, 97212, United States
PORTLAND, OR 972124440
Phone:
Type: Mailing
24988, Southeast Stark Street, Gresham, Metro, Multnomah County, Oregon, 97030, United States
SUITE 220
GRESHAM, OR 970308322
Phone: (503) 674-1580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Dexcom, Inc. ($50).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $50 |
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: 2004-08-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040811000994 | I | Internal Medicine | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 245 | 136 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 51 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 26 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 21 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 97212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Cardiovascular Disease (Cardiology) | OR | |
| Nurse Practitioner | OR | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | MT | |
| Nurse Practitioner | OR | |
| - | OR | |
| Pulmonary Disease | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | WA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | OR | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | OR |
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