JAY C. P. JAN (MD) – Surgery Physician, NPI 1417949926
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 GENERAL SURGERY in OR
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Provider Addresses for JAY C. P. JAN (MD)
1130, Northwest 22nd Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States
SUITE 500
PORTLAND, OR 972102900
Phone: (503) 413-5725
Fax: (503) 413-5726
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 7 Open Payments records for all available years, with a total value of $261.
Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($74).
Total Amount
$261
General + Research + Ownership
Payments
7
Total payment records
General Amount
$261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $74 |
| Stryker Corporation | $68 |
| Baxter Healthcare | $28 |
| Integra LifeSciences Corporation | $26 |
| Medtronic, Inc. | $24 |
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: 2005-10-25
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 |
|---|---|---|---|---|
| I20051025000876 | I | General Surgery | OR | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | 21 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 18 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 14 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 97210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Pain Management | CA | |
| - | OR | |
| Internal Medicine | OR | |
| - | OR | |
| Plastic And Reconstructive Surgery | OR |
Reviews
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