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Active NPI 1417949926 Individual Practitioner Male Practitioner

Dr. Jay C. P. Jan , MD

Surgery • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jay Jan, MD is a certified Surgery practicing in Portland, OR. With approximately 30 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1996, Dr. Jan delivers high-quality medical care to the local community at 1130 NW 22ND AVE.

Dr. Jan maintains professional affiliations with Legacy Good Samaritan Hospital And Medical Center, Legacy Clinics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1130 Nw 22nd Ave
Suite 500

Portland, OR 972102900

Telephone 5034135725
Fax 5034135726
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Portland, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +9.1 yrs vs City Avg
City Avg: 20.9 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
177 Specialists

Practicing in Portland, OR (555 Statewide)

Telehealth Adoption Rate
23.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jan (30 Years) 30 Yrs
Portland Specialty Average (20.9 Years) 20.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
29 17 $211.00 $78.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
26 26 $445.00 $171.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
23 23 $347.00 $126.66

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD24533

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WA MD00047700

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
227380 (OR)
Medicaid State Provider ID
8376584 (WA)

Hospital & Practice Group Affiliations

Legacy Clinics Llc

1130 Nw 22nd Ave, Portland, OR 972102969

Phone: 5034138988

Legacy Good Samaritan Hospital And Medical Center

1040 Nw 22nd Ave, Portland, OR 972103097

Legacy Good Samaritan Hospital And Medical Center

1015 Nw 22nd Ave, Portland, OR 972103025

Phone: 5034137711

Legacy Good Samaritan Hospital And Medical Center

1200 Nw 23rd Ave, Portland, OR 972102906

Phone: 5034137074

Legacy Clinics Llc

1015 Nw 22nd Ave, Portland, OR 972103025

Phone: 5034137711

Legacy Clinics Llc

1015 Nw22nd Ave, Portland, OR 972103025

Phone: 5034136376

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1114337466

Doctor of Medicine (M.D.)

NPI 1295199867
NPI 1619977063

Doctor of Medicine (M.D.)

NPI 1982049664

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2013

Registered at 1130 NW 22ND AVE, SUITE 500, PORTLAND, OR 972102900 (Tel: 5034135725)

📍
Updated Business Mailing Address March 19, 2013

Registered at 1130 NW 22ND AVE, SUITE 500, PORTLAND, OR 972102900 (Tel: 5034135725)

👤
Provider Name / Credentials Updated March 19, 2013

Recorded as JAY JAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2013

Surgery (License #MD24533 in OR)

🟢
Initial NPI Registration & Enumeration August 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417949926
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: March 19, 2013
Sole Proprietor: No

Mailing Address

1130 Nw 22nd Ave, Suite 500

Portland, OR 972102900

Phone: 5034135725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.