Active NPI 1205811890 Individual Practitioner Male Practitioner

Dr. James Patrick Craven , MD

Surgery • Tualatin, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Craven, MD is a certified Surgery practicing in Tualatin, OR. With approximately 37 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 1989, Dr. Craven delivers high-quality medical care to the local community at 19250 SW 65TH AVE STE 235.

Dr. Craven is affiliated with The Oregon Clinic, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of 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

19250 Sw 65th Ave Ste 235

Tualatin, OR 970627745

Telephone 5036925650

Fax 5036927903

Associated Practice Facility / Clinic

🏢 C. Edward Skeeters,m.d. & Michael P. Gardner,m.d. Facility NPI 1902968373

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tualatin, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +12.6 yrs vs City Avg

City Avg: 24.4 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

9 Specialists

Practicing in Tualatin, OR (555 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Craven (37 Years) 37 Yrs

Tualatin Specialty Average (24.4 Years) 24.4 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$577.00	$163.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	12	$269.00	$77.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$627.00	$171.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$443.00	$131.03
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$314.00	$93.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$385.00	$109.57
47562 Removal of gallbladder using an endoscope	11	11	$2291.00	$637.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$568.00	$169.15
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$308.00	$92.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	15	$436.00	$130.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$269.00	$79.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$383.00	$114.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$627.00	$173.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$443.00	$129.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$515.00	$165.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	20	$216.00	$71.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$394.00	$131.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$345.00	$114.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$411.00	$134.96
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$279.00	$93.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$602.00	$198.41
47562 Removal of gallbladder using an endoscope	11	11	$2075.00	$601.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$511.00	$172.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$395.00	$134.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$603.00	$202.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$342.00	$115.87
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$278.00	$94.59
47562 Removal of gallbladder using an endoscope	11	11	$2107.82	$645.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$486.00	$169.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	22	$321.00	$112.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$600.00	$207.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	12	$309.00	$107.22
99213 Established patient office or other outpatient visit, typically 15 minutes	20	11	$222.00	$77.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$214.00	$74.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	37	$247.77	$111.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$375.78	$167.53
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$187.00	$102.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$599.00	$204.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$255.25	$110.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$319.00	$158.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	35	$209.00	$104.34
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$187.00	$96.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	42	$209.00	$105.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$319.00	$160.64
99221 Initial hospital inpatient care per day, typically 30 minutes	17	15	$187.00	$97.97
47562 Removal of gallbladder using an endoscope	11	11	$1900.91	$528.69

Medical Specialties & State Licenses

CMS Verified: 2024-11-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD18789

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 - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License OR MD18789

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License OR MD18789

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2040282 (WA)

Medicaid State Provider ID

063867 (OR)

Commercial Insurance / Payer ID Railroad Medicare

020039057 (OR)

Hospital & Practice Group Affiliations

The Oregon Clinic, Pc

19250 Sw 65th Ave, Tualatin, OR 970627745

Phone: 5036924820

The Oregon Clinic, Pc

5050 Ne Hoyt, Portland, OR 972132990

Phone: 5032396673

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Heather Zarour , MD

Surgery

NPI 1104182781

Doctor of Medicine (M.D.)

Dr. Daniel Gardner , MD

Surgery

NPI 1255863544

Doctor of Medicine (M.D.)

Dr. Brenda Ikwap , MD

Surgery

NPI 1396204533

Doctor of Medicine (M.D.)

Dr. Andrew Cramer , MD

Surgery

NPI 1790760387

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Business Mailing Address November 21, 2023

Registered at 541 NE 20TH AVE STE 225, PORTLAND, OR 972322895 (Tel: 5059632801)

📍

Updated Practice Location March 03, 2023

Registered at 19250 SW 65TH AVE STE 235, TUALATIN, OR 970627745 (Tel: 5036925650)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2023

Surgery (License #MD18789 in OR)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2021

Colon & Rectal Surgery (License #MD18789 in OR)

📍

Updated Practice Location August 30, 2019

Registered at 19250 SW 65TH AVE STE 240, TUALATIN, OR 970627745 (Tel: 5036925650)

📍

Updated Business Mailing Address August 30, 2019

Registered at 847 NE 19TH AVE STE 300, PORTLAND, OR 972322686 (Tel: 5059632801)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2019

Surgery (License #MD18789 in OR)

✅

NPI Profile Active December 20, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 20, 2007

Registered at 1510 DIVISION ST, SUITE 210, OREGON CITY, OR 970451581 (Tel: 5036556313)

📍

Updated Business Mailing Address December 20, 2007

Registered at 1510 DIVISION ST, SUITE 210, OREGON CITY, OR 970451581

👤

Provider Name / Credentials Updated December 20, 2007

Recorded as JAMES CRAVEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2007

Surgery (License #MD18789 in OR)

🟢

Initial NPI Registration & Enumeration December 07, 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: 1205811890

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 07, 2005

Last Update: November 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

541 Ne 20th Ave Ste 225

Portland, OR 972322895

Phone: 5059632801

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.