JERRY J YOON (DPM) – Podiatrist, NPI 1871585802
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
213 PODIATRY in OR
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Provider Addresses for JERRY J YOON (DPM)
4000 KRUSE WAY PL STE 220
BLDG 2
LAKE OSWEGO, OR 970355545
Phone: (503) 636-9656
Fax: (503) 636-9657
Type: Mailing
5528, Southeast Powell Boulevard, Foster-Powell, Portland, Metro, Multnomah County, Oregon, 97206, United States
PORTLAND, OR 972062956
Phone: (503) 777-3999
Fax: (503) 777-2914
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: DJO, LLC ($112).
Total Amount
$128
General + Research + Ownership
Payments
2
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DJO, LLC | $112 |
| Orthofix Medical, Inc. | $16 |
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: 2015-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (768 days ago).
Enrollment records
2
Earliest due date
2024-04-30
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 |
|---|---|---|---|---|
| I20050914001334 | I | Podiatry | OR | TBD |
| O20150817002063 | O | Physician - General Practice | OR | 2024-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 741 | 195 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 238 | 83 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 180 | 122 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 125 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 120 | 79 | $0 |
Insurance plans in this area (ZIP 97035)
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