JOHN M CUSTIS (MD) – Internal Medicine Physician, NPI 1770561813

JOHN M CUSTIS (MD) is a healthcare provider. based in Portland, Oregon. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD09069 (OR). The NPI Number for JOHN M CUSTIS (MD) is 1770561813

Main info

Male
Name
JOHN M CUSTIS (MD)
NPI
1770561813
Phone
(503) 667-1015
Address
PO BOX 23200
Enumeration Date
9 January 2006
Last Update Date
21 December 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN M CUSTIS (MD)

  • 23200, Northwest Reeder Road, Portland, Multnomah County, Oregon, 97231, United States

    PORTLAND, OR 972813200

    Phone: (503) 667-1015

    Fax: (503) 667-0406

    Type: Mailing

  • 24900, Southeast Stark Street, Gresham, Metro, Multnomah County, Oregon, 97060, United States

    STE 109

    GRESHAM, OR 97030

    Phone: (503) 667-1015

    Fax: (503) 667-0406

    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 $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($170).

Total Amount

$170

General + Research + Ownership

Payments

10

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$170
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 97281)

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Reviews

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Frequently asked questions

How is JOHN M CUSTIS (MD) identified in CMS data?
CMS-hosted NPPES data lists JOHN M CUSTIS (MD) with NPI 1770561813.
Can I rely on JOHN M CUSTIS (MD) being an active provider?
As of the registry snapshot, JOHN M CUSTIS (MD) is marked active.
What is JOHN M CUSTIS (MD)'s specialty?
The listing groups JOHN M CUSTIS (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does JOHN M CUSTIS (MD) serve?
JOHN M CUSTIS (MD)'s listing highlights Portland, Oregon; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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