DR. BENJAMIN JACOB COLBURN MD
NPI 1104357714
Family Medicine in Clackamas, OR
About Dr. Benjamin Jacob Colburn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN JACOB COLBURN MD (NPI 1104357714) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (MD191309) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benjamin Jacob Colburn 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.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Colburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Benjamin Colburn's NPI number?
The NPI number for Benjamin Colburn is 1104357714. It was assigned to this individual provider in the NPPES registry on March 24, 2017.
Where is Benjamin Colburn located?
Benjamin Colburn practices at 10100 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 494-8211.
What is Benjamin Colburn's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Benjamin Colburn enrolled in Medicare?
Yes. Benjamin Colburn 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.
Which organization bills Medicare for Benjamin Colburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Colburn reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Colburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Benjamin Colburn was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Benjamin Jacob Colburn, MD · NPI 1104357714
Family Medicine physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since March 24, 2017.
## Identity
- **NPI:** 1104357714 (Entity type: Individual)
- **Enumerated:** March 24, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD191309 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10100 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (503) 494-8211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104357714) · Data from the CMS NPPES public registry.