DR. JENNIFER AGNES SERFIN (M.D) – Surgery Physician, NPI 1700040573

DR. JENNIFER AGNES SERFIN (M.D) is a healthcare provider. based in Corvallis, Oregon. specializing in GENERAL SURGERY. They hold the professional credentials M.D. They hold a License No. MD167389 (OR). The NPI Number for DR. JENNIFER AGNES SERFIN (M.D) is 1700040573

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER AGNES SERFIN (M.D)
NPI
1700040573
Phone
Not provided
Address
PO BOX 1189
Enumeration Date
10 July 2008
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9849741000
Graduation Year
2007 (19 years ago)
PAC ID
5597984005
Group Practice PAC ID
0648181156
Professional Enrollment ID
I20250826004646
Address ID
NC275144220CH101XXDRXX300

Contacts

Secure Messaging
jserfin122449@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

530 GENERAL SURGERY in OR

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Provider Addresses for DR. JENNIFER AGNES SERFIN (M.D)

  • PO BOX 1189

    CORVALLIS, OR 973391189

    Phone:

    Type: Mailing

  • Good Samaritan Regional Medical Center, 3600, Northwest Samaritan Drive, Corvallis, Benton County, Oregon, 97330, United States

    SUITE 1N010

    CORVALLIS, OR 973303737

    Phone: (541) 768-5259

    Fax: (541) 768-4300

    Type: Mailing

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 $818.

Total Amount is formed as General ($818) + Research ($0) + Ownership ($0) = $818.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Davol Inc. ($210).

Total Amount

$818

General + Research + Ownership

Payments

10

Total payment records

General Amount

$818

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250826004646IGeneral SurgeryNCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5337$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3535$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2323$0
99238Hospital discharge day management, 30 minutes or less1918$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 97339)

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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: 0648181156View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
Clinical PsychologistVA
A L L E R G Y/ I M M U N O L O G YNC
-NC
Nurse PractitionerNC
U R O L O G YNH
A N E S T H E S I O L O G YUT
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineND
-NC
Clinical PsychologistNC

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JENNIFER AGNES SERFIN (M.D)?
DR. JENNIFER AGNES SERFIN (M.D) — NPI 1700040573 — is the standard way to identify this listing.
Can I rely on DR. JENNIFER AGNES SERFIN (M.D) being an active provider?
As of the registry snapshot, DR. JENNIFER AGNES SERFIN (M.D) is marked active.
What is DR. JENNIFER AGNES SERFIN (M.D)'s specialty?
The listing groups DR. JENNIFER AGNES SERFIN (M.D) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JENNIFER AGNES SERFIN (M.D) based?
DR. JENNIFER AGNES SERFIN (M.D) is tied to Corvallis, Oregon in the data we show; additional addresses may exist on the full record.
Why does DR. JENNIFER AGNES SERFIN (M.D) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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