BARRY A JACOSHENK (PA-C) – Surgical Physician Assistant, NPI 1376600049

BARRY A JACOSHENK (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00938 (OR). The NPI Number for BARRY A JACOSHENK (PA-C) is 1376600049

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
BARRY A JACOSHENK (PA-C)
NPI
1376600049
Phone
(503) 224-8399
Address
1515 NW 18TH AVE
Enumeration Date
2 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
3577456029
Group Practice PAC ID
3678537602
Professional Enrollment ID
I20040206000659
Address ID
OR970355202LA17355RDXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for BARRY A JACOSHENK (PA-C)

  • Northwest Center for Orthopedics and Rehabilitation, 1515, Northwest 18th Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97209, United States

    SUITE 300

    PORTLAND, OR 972092516

    Phone: (503) 224-8399

    Fax: (503) 224-5661

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Stryker Corporation ($196).

Total Amount

$437

General + Research + Ownership

Payments

8

Total payment records

General Amount

$437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

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: 2004-02-06

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
I20040206000659IPhysician AssistantORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes13497$0
73501X-ray of hip, 1 view6251$0
99203New patient office or other outpatient visit, 30-44 minutes6161$0
20610Aspiration and/or injection of fluid from large joint5040$0
73562X-ray of knee, 3 views4840$0
View full utilization report →

Insurance plans in this area (ZIP 97209)

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Provider's Procedures

BARRY A JACOSHENK (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOR73562X-ray of knee, 3 views1714

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: 3678537602View full group profile
NameSpecialtyState
Orthopedic SurgeryOR
Orthopedic SurgeryOR
Orthopedic SurgeryOR
Hand Surgery, Orthopedic SurgeryOR
Physician AssistantOR
Occupational Therapist In Private PracticeOR
Sports Medicine, Orthopedic SurgeryOR
P O D I A T R YOR
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

What number should I use to identify BARRY A JACOSHENK (PA-C) for billing?
Administrative and clinical systems typically use NPI 1376600049 for BARRY A JACOSHENK (PA-C).
Does the public listing show BARRY A JACOSHENK (PA-C) as active?
BARRY A JACOSHENK (PA-C)'s NPI record reflects an active status in NPPES.
What does the directory say BARRY A JACOSHENK (PA-C) does?
Insurance directories may phrase it differently, but here BARRY A JACOSHENK (PA-C) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit BARRY A JACOSHENK (PA-C) in Portland, Oregon?
For routing, start with Portland, Oregon for BARRY A JACOSHENK (PA-C), then verify phone and hours locally.
Can I export BARRY A JACOSHENK (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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