JORDAN D. DESAUTELS MD
NPI 1114506714
Ophthalmology in Portland, OR
About Jordan D. Desautels Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN D. DESAUTELS MD (NPI 1114506714) is an individual ophthalmology provider in Portland, Oregon, licensed in Oregon (MD224548) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Warren Alpert Medical School Of Brown University (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jordan D. Desautels 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 Jordan Desautels reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Jordan Desautels's NPI number?
The NPI number for Jordan Desautels is 1114506714. It was assigned to this individual provider in the NPPES registry on April 2, 2021.
Where is Jordan Desautels located?
Jordan Desautels practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-3000.
What is Jordan Desautels's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Jordan Desautels enrolled in Medicare?
Yes. Jordan Desautels 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 Jordan Desautels's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Desautels reassigns Medicare benefits to University Professional Services (Portland, 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 Jordan Desautels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Desautels accept?
Health plans from Moda Health Plan, Inc. list Jordan Desautels as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jordan Desautels affiliated with any hospitals?
According to CMS data, Jordan Desautels is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Jordan Desautels was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jordan D. Desautels, MD · NPI 1114506714
Ophthalmology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1114506714 (Entity type: Individual)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD224548 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-3000 · **Fax:** (503) 494-4286
## 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:** University Professional Services (NPI 1376709535, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Warren Alpert Medical School Of Brown University, class of 2021
## Record status
- **NPPES last updated:** July 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114506714) · Data from the CMS NPPES public registry.