DR. JENNIFER AGNES SERFIN (M.D) – Surgery Physician, NPI 1700040573
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Davol Inc. | $210 |
| Baxter Healthcare | $133 |
| Avita Medical Americas, Llc | $116 |
| Cook Biotech Incorporated | $97 |
| Innovation Technologies Inc | $96 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250826004646 | I | General Surgery | NC | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 53 | 37 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 35 | 35 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 23 | 23 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 19 | 18 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 97339)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OR | |
| Clinical Psychologist | VA | |
| A L L E R G Y/ I M M U N O L O G Y | NC | |
| - | NC | |
| Nurse Practitioner | NC | |
| U R O L O G Y | NH | |
| A N E S T H E S I O L O G Y | UT | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | ND | |
| - | NC | |
| Clinical Psychologist | NC |
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