MICHAEL P. JACZKO (DO) – Family Medicine Physician, NPI 1487647954

MICHAEL P. JACZKO (DO) is a healthcare provider. based in Portland, Oregon. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. DO20026 (OR). The NPI Number for MICHAEL P. JACZKO (DO) is 1487647954

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL P. JACZKO (DO)
NPI
1487647954
Phone
(503) 215-6494
Address
PO BOX 3158
Enumeration Date
30 August 2005
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5032161661
Graduation Year
1995 (31 years ago)
PAC ID
8921029653
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20051209000360

Contacts

Secure Messaging
mjaczko759082@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MICHAEL P. JACZKO (DO)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

  • 210, Providence Farm Drive, Providence Farm, Spartanburg County, South Carolina, 29316, United States

    NEWBERG, OR 971327582

    Phone: (503) 537-5900

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99214Established patient office or other outpatient visit, 30-39 minutes347204$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional3218$0
99215Established patient office or other outpatient visit, 40-54 minutes2822$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes2120$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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

How is MICHAEL P. JACZKO (DO) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL P. JACZKO (DO) with NPI 1487647954.
Can I rely on MICHAEL P. JACZKO (DO) being an active provider?
As of the registry snapshot, MICHAEL P. JACZKO (DO) is marked active.
What is MICHAEL P. JACZKO (DO)'s primary classification?
Family Medicine Physician is the headline specialty for MICHAEL P. JACZKO (DO) here. Clinical services aligned with this taxonomy classification.
Does MICHAEL P. JACZKO (DO) list a practice location?
Patients near Portland, Oregon may find MICHAEL P. JACZKO (DO) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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