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Dr. Jeffrey Mitchell Williams , DC

Chiropractor β€’ Newberg, OR

Active NPI 1134439409 Individual Practitioner Male Practitioner
Practice location in NPPES

460 N Villa Rd
Newberg, OR 971321800

Call 5033056585 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

460 N Villa Rd

Newberg, OR 971321800

Telephone 5033056585
Organization at the Same NPPES Address or Phone
Impact Injury Center, Llc Facility NPI 1124547021

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Sherwood, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Williams has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Newberg and Oregon

16 active clinicians are listed under Chiropractor with a practice address in Newberg, OR (1,881 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newberg

0% of these 16 clinicians have the CMS telehealth indicator.

25% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-07
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES OR 4054

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20110808000840

Enrollment State Jurisdiction

OR

PECOS Control ID

3173792157

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

21887 Sw Sherwood Blvd Ste A

Sherwood, OR 971409412

Phone: 5033056585

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 07, 2023

Registered at 460 N VILLA RD, NEWBERG, OR 971321800 (Tel: 5033056585)

πŸ“
Updated Practice Location April 16, 2019

Registered at 15962 BOONES FERRY RD STE 202, LAKE OSWEGO, OR 970354360 (Tel: 5033056585)

πŸ“
Updated Business Mailing Address April 16, 2019

Registered at 15962 BOONES FERRY RD STE 202, LAKE OSWEGO, OR 970354360 (Tel: 5033056585)

βœ…
NPI Profile Active October 20, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 20, 2010

Registered at 21887 SW SHERWOOD BOULEVARD, STE A, SHERWOOD, OR 97140 (Tel: 5036250500)

πŸ“
Business Mailing Address (Initial Record) October 20, 2010

Registered at 21887 SW SHERWOOD BOULEVARD, STE A, SHERWOOD, OR 97140 (Tel: 5036250500)

πŸ‘€
Provider Name / Credentials (Initial Record) October 20, 2010

Recorded as JEFFREY WILLIAMS, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2010

Chiropractor (license number reported to NPPES: OR 4054)

🟒
Initial NPI Registration & Enumeration October 20, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134439409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2010
Last Update: September 07, 2023
Sole Proprietor: No

Other Chiropractors in Newberg

All Chiropractors in Newberg

Mailing Address

15962 Boones Ferry Rd Ste 202

Lake Oswego, OR 970354360

Phone: 5033056585

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.