JESSE Y LIU – Dermatology Physician, NPI 1356845523

JESSE Y LIU is a healthcare provider. based in Portland, Oregon. specializing in DERMATOLOGY. They hold a License No. 25MA11464700 (NJ). The NPI Number for JESSE Y LIU is 1356845523

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JESSE Y LIU
NPI
1356845523
Phone
(503) 418-3376
Address
3303 S BOND AVE
Enumeration Date
21 March 2018
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3608822778
Graduation Year
2018 (8 years ago)
PAC ID
9032465158
Group Practice PAC ID
3173436490
Professional Enrollment ID
I20240409002770
Address ID
WA986849542VA501XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for JESSE Y LIU

  • 3303 S BOND AVE

    PORTLAND, OR 972394501

    Phone: (503) 418-3376

    Type: Mailing

  • 36475 FIVE MILE RD

    LIVONIA, MI 481541971

    Phone:

    Type: Mailing

  • 1 Seymour St

    Montclair, NJ 070423771

    Phone: (973) 302-9585

    Fax: (862) 357-8421

    Type: Location

  • 1 DIAMOND HILL RD

    BERKELEY HEIGHTS, NJ 079222104

    Phone: (908) 273-4300

    Type: Mailing

  • 1 SEYMOUR ST

    MONTCLAIR, NJ 070423771

    Phone: (973) 302-9585

    Fax: (862) 357-8421

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2023-04-05 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($108).

Total Amount

$108

General + Research + Ownership

Payments

1

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240409002770IDermatologyWATBD
I20250409000850IDermatologyORTBD

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
17003Destruction of precancer skin growth, 2-14 growths27467$0
99214Established patient office or other outpatient visit, 30-39 minutes274159$0
99204New patient office or other outpatient visit, 45-59 minutes127127$0
17000Destruction of precancer skin growth, 1 growth10989$0
11102Biopsy of related skin growth, first growth10293$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 3173436490View full group profile
NameSpecialtyState
Physician AssistantTN
Internal Medicine, Infectious DiseasePA
Internal MedicineWA
Diagnostic RadiologyOR
Internal MedicineOR
O P H T H A L M O L O G YIA
-OR
Nurse PractitionerWA
Nurse PractitionerWA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA

Reviews

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Frequently asked questions

Does JESSE Y LIU share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESSE Y LIU uses 1356845523.
Does CMS list JESSE Y LIU as active?
Yes — JESSE Y LIU is active in the NPI listing used on this page.
What is JESSE Y LIU's primary classification?
Dermatology Physician is the headline specialty for JESSE Y LIU here. Clinical services aligned with this taxonomy classification.
Does JESSE Y LIU list a practice location?
Patients near Portland, Oregon may find JESSE Y LIU in results; validate coverage separately.
Why does JESSE Y LIU have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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