DONNA YUN JIN (MD) – Family Medicine Physician, NPI 1346739653

DONNA YUN JIN (MD) is a healthcare provider. based in Portland, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 133450 (AK). The NPI Number for DONNA YUN JIN (MD) is 1346739653

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DONNA YUN JIN (MD)
NPI
1346739653
Phone
(866) 907-1068
Address
PO BOX 4105
Enumeration Date
2 May 2018
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
9704973333
Graduation Year
2018 (8 years ago)
PAC ID
5496002081
Group Practice PAC ID
5395998744
Professional Enrollment ID
I20210726001233
Address ID
CO814014831MO1010XAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

495 FAMILY PRACTICE in AK

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Provider Addresses for DONNA YUN JIN (MD)

  • 4105, Southwest 91st Avenue, West Slope, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972084105

    Phone: (866) 907-1068

    Fax: (425) 917-9141

    Type: Mailing

  • 1201, East 36th Avenue, Anchorage, Alaska, 99508, United States

    ANCHORAGE, AK 99508

    Phone: (907) 562-9229

    Fax: (907) 562-1603

    Type: Location

  • PO BOX 529

    OLATHE, CO 814250529

    Phone: (970) 323-6141

    Fax: (855) 299-8071

    Type: Mailing

  • 308 MAIN ST.

    OLATHE, CO 81425

    Phone: (970) 323-6141

    Fax: (855) 299-8071

    Type: Location

  • 1010 S RIO GRANDE AVE

    MONTROSE, CO 814014831

    Phone: (970) 497-3333

    Fax: (855) 299-7837

    Type: Location

  • 308 Main St.

    Olathe, CO 81425

    Phone: (970) 323-6141

    Fax: (855) 299-8071

    Type: Location

  • 1250 Valley View Dr

    Delta, CO 814163138

    Phone: (970) 874-8981

    Fax: (855) 299-7586

    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: 2021-07-26

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
I20210726001233IFamily PracticeCOTBD

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
82962Blood glucose (sugar) test performed by hand-held instrument6225$0
83036Hemoglobin a1c level5527$0
80305Testing for presence of drug, read by direct observation4811$0
81002Urinalysis, manual test1716$0
87637Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus1614$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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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: 5395998744View full group profile
NameSpecialtyState
Nurse PractitionerCO
Clinical Social WorkerCO
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Family PracticeCO
Nurse PractitionerCO
Mental Health CounselorCO

Reviews

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Frequently asked questions

Is DONNA YUN JIN (MD) listed with a National Provider Identifier?
Yes — DONNA YUN JIN (MD) has NPI 1346739653 on file in the registry.
Active or inactive — what applies to DONNA YUN JIN (MD)?
You should see DONNA YUN JIN (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DONNA YUN JIN (MD)?
At a glance, DONNA YUN JIN (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is DONNA YUN JIN (MD) registered?
Use Portland, Oregon as the headline location for DONNA YUN JIN (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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