MELANIE A JACKSON (MD) – Internal Medicine Physician, NPI 1659711463
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,474 INTERNAL MEDICINE in OR
Provider Addresses for MELANIE A JACKSON (MD)
4805 NE Glisan St
Portland, OR 972132933
Phone: (503) 216-2392
Type: Location
3181 SW Sam Jackson Park Rd
OHSU
Portland, OR 972393011
Phone: (503) 494-8220
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
4805 NE GLISAN ST
PORTLAND, OR 972132933
Phone: (503) 216-2392
Type: Location
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
3615 NW SAMARITAN DR STE 110
CORVALLIS, OR 973303756
Phone: (541) 768-7900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Medtronic, Inc. ($99).
Total Amount
$240
General + Research + Ownership
Payments
10
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $99 |
| Novo Nordisk Inc | $62 |
| Tandem Diabetes Care, Inc. | $40 |
| Dexcom, Inc. | $20 |
| Bayer Healthcare Pharmaceuticals Inc. | $19 |
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: 2019-11-13
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 |
|---|---|---|---|---|
| I20191113001511 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 184 | 100 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 59 | 24 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 50 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 97213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Physical Therapist In Private Practice | MT | |
| P S Y C H I A T R Y | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| Occupational Therapist In Private Practice | OR | |
| - | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | OR |
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