JASON M VAUGHN (PT) – Orthopedic Physical Therapist, NPI 1376864256
Orthopedic Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR
Provider Addresses for JASON M VAUGHN (PT)
17355 BOONES FERRY RD STE B
LAKE OSWEGO, OR 97035
Phone: (503) 635-0844
Fax: (503) 635-0812
Type: Location
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 972247736
Phone: (503) 443-6156
Fax: (503) 639-9699
Type: Mailing
1917 N LAKEWOOD DR
COEUR D ALENE, ID 838142634
Phone: (208) 277-0795
Fax: (208) 277-0775
Type: Mailing
551 Lone Pine Blvd
The Dalles, OR 970589403
Phone: (541) 296-7202
Fax: (541) 296-8008
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: 2021-04-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210420001605 | I | Physical Therapist In Private Practice | ID | 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 |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,088 | 93 | $0 |
| 97530 | Therapy procedure using functional activities | 734 | 105 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 151 | 20 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 108 | 20 | $0 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 68 | 67 | $0 |
Insurance plans in this area (ZIP 97035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | ID |
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