MR. JONATHAN WILLIAM GIETZEN (PA-C) – Physician Assistant, NPI 1346227972
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for MR. JONATHAN WILLIAM GIETZEN (PA-C)
3415, 17th Avenue, Forest Grove, Washington County, Oregon, 97116, United States
FOREST GROVE, OR 971162001
Phone: (503) 359-4358
Type: Mailing
Interstate Medical Office South, 3500, North Interstate Avenue, Overlook, Portland, Multnomah County, Oregon, 97227, United States
3500 N INTERSTATE AVE
PORTLAND, OR 972271196
Phone: (503) 813-2000
Type: Location
SUNSET KAISER CLINIC
10060 NE EVERGREEN PARKWAY
HILLSBORO, OR 971241196
Phone: (503) 813-2000
Type: Location
1209 MOUNTAIN VIEW DR
FOREST GROVE, OR 971163301
Phone: (503) 359-4358
Type: Mailing
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: 2019-04-18
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 |
|---|---|---|---|---|
| I20060329000135 | I | Physician Assistant | OR | TBD |
| I20190418000715 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 24 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 97116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| - | OR | |
| N E U R O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Infectious Disease, Internal Medicine | OR | |
| Thoracic Surgery | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Clinical Psychologist | OR |
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