DR. JAY PRESTON MALMQUIST DMD
NPI 1275641284
Dentist - Oral and Maxillofacial Surgery in Portland, OR

Q: What is Jay Malmquist's NPI number?

The NPI number for Jay Malmquist is 1275641284. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Jay Malmquist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Jay Malmquist enrolled in Medicare?

No. Jay Malmquist has opted out of Medicare through April 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jay Malmquist 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.

Active since August 29, 2006Opted out of Medicare · through Apr 11, 2028

5415 SW WESTGATE DR, SUITE #L-7, PORTLAND, OR 97221(503) 292-8824(503) 297-7810 Get Directions Write a Review

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

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About Dr. Jay Preston Malmquist Dmd NPPES

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

DR. JAY PRESTON MALMQUIST DMD (NPI 1275641284) is an individual oral and maxillofacial surgery provider in Portland, Oregon, licensed in Oregon (D4642) and active in the NPI registry since August 2006. She has opted out of Medicare through April 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275641284

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JAY PRESTON MALMQUISTCredential: DMD

Location Address5415 SW WESTGATE DR, SUITE #L-7Portland, OR 97221-2409

Mailing Address5415 Sw Westgate Dr, Suite #l-7Portland, OR 97221-2409 · (503) 292-8824 · Fax (503) 297-7810

Phone(503) 292-8824

Fax(503) 297-7810

Sole ProprietorYes

Enumeration DateAugust 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275641284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in OR · D4642

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5415 SW WESTGATE DR, Portland, OR 97221

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Other Identifiers 1

Medicare UPINT67870OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jay Preston Malmquist Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2016 through April 11, 2028.

Opt-Out Effective DateApril 11, 2016

Opt-Out In Effect ThroughApril 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97221 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

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.

RAWDAH MOHAMMED HEGAZY

Student in an Organized Health Care Education/Training Program