Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jacob Peter Hauptman , PA-C

Physician Assistant - Medical โ€ข Portland, OR

Active NPI 1285802850 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1321 Ne 99th Ave, #200
Portland, OR 972209436

Call 5032154250 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

1321 Ne 99th Ave
#200

Portland, OR 972209436

Telephone 5032154250
Organization at the Same NPPES Address or Phone
Providence Health & Services - Oregon Facility NPI 1790881498

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

CMS Doctors and Clinicians lists 1 group name: Providence Health And Services Oregon. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Yale University School Of Medicine

Graduation Year

2007

Medicare patients

65 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $9,062 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $5,449 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

962 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$14,534 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

19 years (graduated 2007)

CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Jacob Hauptman 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

Can order Medicare-covered services

CMS lists Jacob Hauptman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

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

Guide: What ordering and referring status means

Compared with the same specialty in Portland and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant - Medical in Portland, OR (2024, 162 clinicians with data). Median for this group: 166. Middle half: 79 to 338.

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant - Medical in Oregon (2024, 394 clinicians with data). Median for this group: 209. Middle half: 80 to 468.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant - Medical in Portland, OR (2024, 162 clinicians with data). Median for this group: $13,353. Middle half: $7,006 to $23,819.

A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant - Medical in Oregon (2024, 394 clinicians with data). Median for this group: $15,808. Middle half: $5,682 to $32,232.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant - Medical in Portland, OR (2024, 162 clinicians with data). Median for this group: $9,463. Middle half: $4,913 to $17,812.

A lower Medicare payment amount than 65% of clinicians listed under Physician Assistant - Medical in Oregon (2024, 394 clinicians with data). Median for this group: $11,417. Middle half: $4,119 to $23,915.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Physician Assistant - Medical in Portland, OR (2024, 146 clinicians with data). Median for this group: 224. Middle half: 46 to 867.

Close to the middle for clinicians listed under Physician Assistant - Medical in Oregon (2024, 423 clinicians with data). Median for this group: 440. Middle half: 107 to 1,414.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant - Medical in Portland, OR (2024, 146 clinicians with data). Median for this group: $15,286. Middle half: $755 to $138,415.

Close to the middle for clinicians listed under Physician Assistant - Medical in Oregon (2024, 423 clinicians with data). Median for this group: $28,057. Middle half: $1,955 to $189,171.

261 active clinicians are listed under Physician Assistant - Medical with a practice address in Portland, OR (699 in Oregon).

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

Telehealth indicator in Portland

33% of these 261 clinicians have the CMS telehealth indicator.

77.4% of these 261 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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
51 35 $435.00 $82.65
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
37 29 $55.00 $14.12
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
33 22 $308.00 $64.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
20 18 $612.00 $109.51

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levothyroxine Sodium Levothyroxine Sodium 44 3,265 $604.03 20
Oxycodone Hcl Oxycodone Hcl 39 712 $363.95 17
Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl 36 817 $3,483.92 โ€”
Metformin Hcl Er Metformin Hcl 34 2,110 $276.76 13
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 30 757 $814.68 12
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 29 614 $1,063.23 โ€”
Warfarin Sodium Warfarin Sodium 26 405 $227.03 โ€”
Gabapentin Gabapentin 26 2,040 $738.58 14
Buprenorphine Hcl Buprenorphine Hcl 26 662 $614.59 โ€”
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 23 330 $107.70 โ€”
Atorvastatin Calcium Atorvastatin Calcium 22 1,920 $529.46 13
Pregabalin Pregabalin 19 545 $464.30 โ€”
Losartan Potassium Losartan Potassium 16 1,378 $273.28 โ€”
Mupirocin Mupirocin 16 267 $279.95 โ€”
Amlodipine Besylate Amlodipine Besylate 15 1,170 $81.53 โ€”
Lorazepam Lorazepam 15 333 $85.81 โ€”
Albuterol Sulfate Hfa Albuterol Sulfate 15 368 $314.33 11
Clonazepam Clonazepam 14 369 $109.29 โ€”
Pantoprazole Sodium Pantoprazole Sodium 14 920 $193.29 โ€”
Buspirone Hcl Buspirone Hcl 14 540 $166.81 โ€”
Methocarbamol Methocarbamol 14 326 $171.90 โ€”
Ondansetron Odt Ondansetron 14 119 $137.61 โ€”
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 13 806 $1,647.35 โ€”
Omeprazole Omeprazole 13 559 $205.27 โ€”
Lisinopril Lisinopril 12 930 $90.05 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-19
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES OR 161825
Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES CA PA20495
Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES CT 002042
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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20150413001220

Enrollment State Jurisdiction

OR

PECOS Control ID

2860684610

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Providence Health And Services Oregon

1321 Ne 99th Ave, Portland, OR 972209439

Phone: 5032154250

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
Dr. Mahnaz Ahmad , MD

Internal Medicine

NPI 1124046727

Doctor of Medicine (M.D.)

Dr. Rima Chamie , MD

Family Medicine

NPI 1316993801

Doctor of Medicine (M.D.)

NPI 1104856285

Doctor of Medicine (M.D.)

NPI 1124606975

Doctor of Medicine (M.D.)

Ineke Glavor , PA-C

Physician Assistant

NPI 1467722629

Physician Assistant (Certified)

Penny Gneiting , PA

Physician Assistant

NPI 1306085956

Physician Assistant

Career & Practice History

NPI enumerated February 15, 2008.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285802850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2008
Last Update: October 19, 2020
Sole Proprietor: No

Other Physician Assistant - Medicals in Portland

All Physician Assistant - Medicals in Portland

Mailing Address

1321 Ne 99th Ave, #200

Portland, OR 972209436

Phone: 5032154250

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.