JALIEN KATRICE DORRIS (DO) – Family Medicine Physician, NPI 1497985931
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for JALIEN KATRICE DORRIS (DO)
PO BOX 320
SILETZ, OR 97380
SILETZ, OR 973800320
Phone: (541) 444-1030
Fax: (541) 444-9695
Type: Mailing
444 NW ELKS DR
CORVALLIS, OR 973303745
Phone: (541) 754-1150
Type: Mailing
633 N ALBANY RD NW
ALBANY, OR 973211433
Phone: (541) 926-3441
Fax: (844) 427-6168
Type: Location
Gwee-Shut Road, Siletz, Lincoln County, Oregon, 97380, United States
SILETZ, OR 973802036
Phone: (541) 444-1030
Fax: (541) 444-9695
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: 2016-11-09
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 |
|---|---|---|---|---|
| I20161109002824 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 73 | 42 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 24 | 24 | $0 |
| G0008 | Administration of influenza virus vaccine | 16 | 16 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 15 | 15 | $0 |
Insurance plans in this area (ZIP 97380)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Family Practice | OR | |
| - | OR | |
| P O D I A T R Y | OR | |
| - | OR | |
| - | OR |
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