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DR. JEFFREY AARON KOMISAROF MD
NPI 1043318405
Internal Medicine - Nephrology in Portland, OR

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
10201 SE MAIN ST, SUITE 27, PORTLAND, OR 97216(503) 256-0877(503) 256-4188 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Aaron Komisarof Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY AARON KOMISAROF MD (NPI 1043318405) is an individual nephrology provider in Portland, Oregon, licensed in Oregon (MD26611) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1999).

NPPES Registry Identity

NPI1043318405
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JEFFREY AARON KOMISAROFCredential: MD
Location Address10201 SE MAIN ST, SUITE 27Portland, OR 97216-2937
Mailing Address10201 Se Main St, Suite 27Portland, OR 97216-2937 · (503) 256-0877 · Fax (503) 256-4188
Phone(503) 256-0877
Fax(503) 256-4188
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1999
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043318405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OR · MD26611
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
10201 SE MAIN ST, Portland, OR 97216
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Aaron Komisarof Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749383248
PECOS Enrollment IDI20120615000434
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
353 services140 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services88 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services29 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
41 services20 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
19 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210004
Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW J URI MD
Internal Medicine (Pulmonary Disease)
10201 SE MAIN ST, SUITE 11
PORTLAND, OR 97216
Multnomah County (503) 253-2248
ALEX LAM PHARMD
Pharmacist
10201 SE MAIN ST
PORTLAND, OR 97216
Multnomah County (503) 251-6141
VANESSA L PETERSON MD
Internal Medicine (Sleep Medicine)
10201 SE MAIN ST, PORTLAND LUNG CLINIC
PORTLAND, OR 97216
Multnomah County (503) 253-2248
ENOCH T HUANG MD
Emergency Medicine (Undersea and Hyperbaric Medicine)
10201 SE MAIN ST, SUITE 9
PORTLAND, OR 97216
Multnomah County (503) 252-4325
MARC M MOROYE MD
Internal Medicine
10201 SE MAIN ST, SUITE 12
PORTLAND, OR 97216
Multnomah County (503) 255-7550
JENNA CLOWERS PA-C
Physician Assistant
10201 SE MAIN ST, SUITE 9
PORTLAND, OR 97216
Multnomah County (503) 252-4325
MARILYN LUZOD MENDOZA NP
Nurse Practitioner
10201 SE MAIN ST, SUITE 29
PORTLAND, OR 97216
Multnomah County (503) 251-6363
KIDNEY CARE INC
Internal Medicine (Nephrology)
10201 SE MAIN ST, SUITE 27
PORTLAND, OR 97216
Multnomah County (503) 256-0877

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Komisarof's NPI number?

The NPI number for Jeffrey Komisarof is 1043318405. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jeffrey Komisarof located?

Jeffrey Komisarof practices at 10201 SE Main St Suite 27, Portland, OR 97216. The listed phone number is (503) 256-0877.

What is Jeffrey Komisarof's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jeffrey Komisarof enrolled in Medicare?

Yes. Jeffrey Komisarof is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jeffrey Komisarof affiliated with any hospitals?

According to CMS data, Jeffrey Komisarof is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Komisarof was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.