JESSICA N MEHTA (MD) – Dermatology Physician, NPI 1346289923
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
232 DERMATOLOGY in OR
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Provider Addresses for JESSICA N MEHTA (MD)
Portland Post Office, 2nd Avenue, Portland, Ashley County, Arkansas, 71663, United States
PORTLAND, OR 972083158
Phone: (503) 215-6494
Fax: (503) 215-6644
Type: Mailing
18040, Southwest Lower Boones Ferry Road, Tigard, Metro, Washington County, Oregon, 97224, United States
SUITE 100
TIGARD, OR 972247258
Phone: (503) 216-0770
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($104).
Total Amount
$104
General + Research + Ownership
Payments
5
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $104 |
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: 2022-04-27
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 |
|---|---|---|---|---|
| I20070129000287 | I | Dermatology | OR | TBD |
| I20220427000180 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 43 | 11 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 17 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 16 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97208)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OR | 17003 | Destruction of 2-14 skin growths | 467 | 99 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| D E R M A T O L O G Y | OR |
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