DR. JEFFREY EATON JOHNSON (M.D.) – Urology Physician, NPI 1659487692

DR. JEFFREY EATON JOHNSON (M.D.) is a healthcare provider. based in Clackamas, Oregon. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. WA MD00037620 (WA). The NPI Number for DR. JEFFREY EATON JOHNSON (M.D.) is 1659487692

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY EATON JOHNSON (M.D.)
NPI
1659487692
Phone
(503) 652-2880
Address
9900 SE SUNNYSIDE RD
Enumeration Date
22 August 2006
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
8008132000
Graduation Year
1993 (33 years ago)
PAC ID
8224128095
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20071217000480
Address ID
OR970158970CL10180RDXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

173 UROLOGY in OR

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Provider Addresses for DR. JEFFREY EATON JOHNSON (M.D.)

  • 9900, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    CLACKAMAS, OR 970159777

    Phone: (503) 652-2880

    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)

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: 2010-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20071217000480IUrologyORTBD
I20100126000692IUrologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

What identifier follows DR. JEFFREY EATON JOHNSON (M.D.) across health systems?
The NPI 1659487692 uniquely identifies DR. JEFFREY EATON JOHNSON (M.D.) in U.S. healthcare data.
Quick check: is DR. JEFFREY EATON JOHNSON (M.D.) active?
Public NPPES data shows DR. JEFFREY EATON JOHNSON (M.D.) with an active NPI status right now.
What services align with DR. JEFFREY EATON JOHNSON (M.D.)'s listing?
DR. JEFFREY EATON JOHNSON (M.D.)'s public classification highlights Urology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JEFFREY EATON JOHNSON (M.D.)?
The directory associates DR. JEFFREY EATON JOHNSON (M.D.) with Clackamas, Oregon. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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