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Dr. Jay C. P. Jan , MD

Surgery • Portland, OR

Active NPI 1417949926 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1130 Nw 22nd Ave, Suite 500
Portland, OR 972102900

Call 5034135725 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

1130 Nw 22nd Ave
Suite 500

Portland, OR 972102900

Telephone 5034135725
Fax 5034135726
Organization at the Same NPPES Address or Phone
Portland Obstetrics & Gynecology Associates Pc Facility NPI 1477598159

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 2 distinct group names: Legacy Clinics Llc; Legacy Good Samaritan Hospital And Medical Center. 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

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1996

Medicare patients

91 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 – by Provider, 2024.

Medicare-allowed amount

About $9,648 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 – by Provider and Service, 2024.

Paid by Medicare

About $7,049 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 – by Provider and Service, 2024.

30-day fills

47 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

$288 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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $322.11 across 5 records.

By nature of payment

  • Food and Beverage: $322.11 across 5 records.

Reporting-company totals

  • Teleflex LLC: $141.58 across 2 records.
  • Medtronic, Inc.: $111.85 across 2 records.
  • INTUITIVE SURGICAL, INC.: $68.68 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

30 years (graduated 1996)

CMS Doctors and Clinicians data list 1996 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

2005

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, “Does 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. Jan 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 Dr. Jan 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 Surgery in Portland, OR (2024, 73 clinicians with data). Median for this group: 91. Middle half: 41 to 182.

Fewer Medicare Part B services than 60% of clinicians listed under Surgery in Oregon (2024, 252 clinicians with data). Median for this group: 114. Middle half: 47 to 228.

Medicare-allowed amount

Close to the middle for clinicians listed under Surgery in Portland, OR (2024, 73 clinicians with data). Median for this group: $12,774. Middle half: $4,400 to $28,216.

A lower Medicare-allowed amount than 60% of clinicians listed under Surgery in Oregon (2024, 252 clinicians with data). Median for this group: $14,468. Middle half: $5,814 to $34,863.

Paid by Medicare

Close to the middle for clinicians listed under Surgery in Portland, OR (2024, 73 clinicians with data). Median for this group: $9,628. Middle half: $3,432 to $21,976.

A lower Medicare payment amount than 60% of clinicians listed under Surgery in Oregon (2024, 252 clinicians with data). Median for this group: $10,732. Middle half: $4,159 to $27,645.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Surgery in Portland, OR (2024, 81 clinicians with data). Median for this group: 49. Middle half: 27 to 88.

Fewer Part D prescriptions than 70% of clinicians listed under Surgery in Oregon (2024, 281 clinicians with data). Median for this group: 61. Middle half: 35 to 125.

Part D drug cost

Close to the middle for clinicians listed under Surgery in Portland, OR (2024, 81 clinicians with data). Median for this group: $358. Middle half: $117 to $1,993.

A lower Part D drug cost than 60% of clinicians listed under Surgery in Oregon (2024, 281 clinicians with data). Median for this group: $536. Middle half: $145 to $3,038.

165 active clinicians are listed under Surgery with a practice address in Portland, OR (525 in Oregon).

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

Telehealth indicator in Portland

25.5% of these 165 clinicians have the CMS telehealth indicator.

57% of these 165 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $322.11.

Manufacturer Payment Nature Product Type Amount ($)
Teleflex LLC
Food and Beverage
In-kind items and services
TITAN SGS BAILOUT CHUCK General $83.89
INTUITIVE SURGICAL, INC.
Food and Beverage
In-kind items and services
Da Vinci Surgical System General $68.68
Medtronic, Inc.
Food and Beverage
In-kind items and services
SIGNIA General $59.52
Teleflex LLC
Food and Beverage
In-kind items and services
TITAN SGS BAILOUT CHUCK General $57.69
Medtronic, Inc.
Food and Beverage
In-kind items and services
SIGNIA General $52.33

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
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

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 · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 23 52 $81.34 21
Pantoprazole Sodium Pantoprazole Sodium 17 720 $206.78 —

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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES 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

License # reported to NPPES 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.

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

Additional State Medicaid & Healthcare Payer Identifiers

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

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20051025000876

Enrollment State Jurisdiction

OR

PECOS Control ID

5597782904

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

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

Clinicians Sharing This Practice Address or Phone

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

3 listed
NPI 1295199867
NPI 1982049664

Doctor of Medicine (M.D.)

NPI 1114337466

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated August 19, 2005.

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: 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

Other Surgery Specialists in Portland

All Surgery Specialists in Portland

Mailing Address

1130 Nw 22nd Ave, Suite 500

Portland, OR 972102900

Phone: 5034135725

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.