DR. JEFFREY MARBACH M.D.
NPI 1215290895
Internal Medicine - Cardiovascular Disease in Clackamas, OR
About Dr. Jeffrey Marbach M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY MARBACH M.D. (NPI 1215290895) is an individual cardiovascular disease provider in Clackamas, Oregon, licensed in Oregon (MD209280) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
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
Dr. Jeffrey Marbach M.d. 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 Reassignments
3Medicare enrollment records show Jeffrey Marbach reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Portland, OR 97210
- Reassigned Medicare billing, Oregon enrollment
- 1,248 clinicians in this Medicare group
Sandy, OR 97055
- Reassigned Medicare billing, Oregon enrollment
- 28 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Sunnyside Medical Center
Acute Care Hospitals · Clackamas, ORKaiser Foundation Hospital Westside
Acute Care Hospitals · Hillsboro, ORPhysician 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.
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.
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 Jeffrey Marbach's NPI number?
The NPI number for Jeffrey Marbach is 1215290895. It was assigned to this individual provider in the NPPES registry on June 19, 2012.
Where is Jeffrey Marbach located?
Jeffrey Marbach practices at 10100 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.
What is Jeffrey Marbach's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Jeffrey Marbach enrolled in Medicare?
Yes. Jeffrey Marbach 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 organizations bill Medicare for Jeffrey Marbach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Marbach reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR), Legacy Clinics LLC (Portland, OR) and Orchid Oakridge Clinic, PC (Sandy, OR). Each 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 Marbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Marbach accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jeffrey Marbach 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 Jeffrey Marbach affiliated with any hospitals?
According to CMS data, Jeffrey Marbach is affiliated with Kaiser Sunnyside Medical Center and Kaiser Foundation Hospital Westside.
When was this NPI record last updated?
The NPPES record for Jeffrey Marbach was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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. Jeffrey Marbach, M.D. · NPI 1215290895
Cardiovascular Disease physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since June 19, 2012.
## Identity
- **NPI:** 1215290895 (Entity type: Individual)
- **Enumerated:** June 19, 2012
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD209280 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10100 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (800) 813-2000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR); Legacy Clinics LLC (NPI 1902827272, Portland, OR); Orchid Oakridge Clinic, PC (NPI 1417098773, Sandy, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215290895) · Data from the CMS NPPES public registry.