MR. JEFFREY RYAN MOSHER PSY.D.
NPI 1124377627
Psychologist - Clinical in Clackamas, OR

Q: What is Jeffrey Mosher's NPI number?

The NPI number for Jeffrey Mosher is 1124377627. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Q: What is Jeffrey Mosher's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Mosher was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 30, 2012PECOS Enrolled

9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(650) 773-3955 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2021, Dec 20, 2016 (2 updates tracked since 2016).

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About Mr. Jeffrey Ryan Mosher Psy.d. NPPES

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

MR. JEFFREY RYAN MOSHER PSY.D. (NPI 1124377627) is an individual clinical provider in Clackamas, Oregon, licensed in California (28635) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124377627

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. JEFFREY RYAN MOSHERCredential: PSY.D.

Location Address9900 SE SUNNYSIDE RDClackamas, OR 97015-9777

Mailing Address19000 Homestead Rd, Building 2Cupertino, CA 95014-0712

Phone(650) 773-3955

Sole ProprietorNo

Enumeration DateAugust 30, 2012

Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration

NPPES CertifiedDecember 30, 2021

✔ NPI 1124377627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 28635

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9900 SE SUNNYSIDE RD, Clackamas, OR 97015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey Ryan Mosher Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Mosher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest

0.2 mi

Sleep Disorder Diagnostic

9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015

Reassigned Medicare billing, Oregon and Washington enrollments
Also billed through NPI 1871848457 (Washington)
3,207 clinicians in this Medicare group

NPI 1174851505 (503) 659-2454

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.

New Patient

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

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.

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.

DR. RONALD LEE LOHMAN MD

Orthopaedic Surgery

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 571-4227

DR. SCOTT KEOLA MIYAKE M.D.

Internal Medicine (Nephrology)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

JO M MARTIN MD

Dermatology

9900 SE SUNNYSIDE RD, NW PERMANENTE PC, PHYSICIANS AND SURGEONS
CLACKAMAS, OR 97015

Clackamas County (503) 571-3332

DALE FOSSATI

Physician Assistant (Medical)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 571-8240

SARAH COX MSW

Counselor (Mental Health)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (971) 235-7583

NOEL M LEE MD

Internal Medicine (Gastroenterology)

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

MS. BRENDA LOU BUCK RD

Dietitian, Registered

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 571-3764

DR. JEFFERY ZHU HU MD

Dermatology

9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

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 Mosher's NPI number?

The NPI number for Jeffrey Mosher is 1124377627. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Jeffrey Mosher located?

Jeffrey Mosher practices at 9900 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (650) 773-3955.

What is Jeffrey Mosher's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jeffrey Mosher enrolled in Medicare?

Yes. Jeffrey Mosher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Mosher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Mosher 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 Jeffrey Mosher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Mosher accept?

Health plans from Kaiser Permanente list Jeffrey Mosher 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Mosher was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.