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JACOB PETER HAUPTMAN P.A.-C
NPI 1285802850
Physician Assistant - Medical in Portland, OR

Active since February 15, 2008PECOS EnrolledAccepts Medicare Assignment
1321 NE 99TH AVE, #200, PORTLAND, OR 97220(503) 215-4250 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Peter Hauptman P.a.-c NPPES

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

JACOB PETER HAUPTMAN P.A.-C (NPI 1285802850) is an individual medical provider in Portland, Oregon, licensed in Oregon (161825) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Yale University School Of Medicine (2007).

NPPES Registry Identity

NPI1285802850
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB PETER HAUPTMANCredential: P.A.-C
Location Address1321 NE 99TH AVE, #200Portland, OR 97220-9436
Mailing Address1321 Ne 99th Ave, #200Portland, OR 97220-9436 · (503) 215-4250
Phone(503) 215-4250
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2007
Enumeration DateFebruary 15, 2008
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1285802850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in OR · 161825✔ Licensed in CA · PA20495✔ Licensed in CT · 002042
1321 NE 99TH AVE, Portland, OR 97220
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Peter Hauptman P.a.-c 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.

PECOS PAC ID2860684610
PECOS Enrollment IDI20150413001220
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

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.

KIMBERLY A SMITH-CUPANI MD
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
1321 NE 99TH AVE, SUITE 100
PORTLAND, OR 97220
Multnomah County (503) 215-9900
THUY LIEN THI HOANG MD
Family Medicine
1321 NE 99TH AVE, STE 100
PORTLAND, OR 97220
Multnomah County (503) 215-9900
KIMBERLY A SHIELDS DO
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
MARIA LUISA CONSTANTE MD
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
MAHNAZ AHMAD M.D.
Internal Medicine
1321 NE 99TH AVE, STE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
PROVIDENCE HEALTH & SERVICES - OREGON
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250
DANIEL M ROSENBERG MD
Family Medicine
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 215-4250

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 Jacob Hauptman's NPI number?

The NPI number for Jacob Hauptman is 1285802850. It was assigned to this individual provider in the NPPES registry on February 15, 2008.

Where is Jacob Hauptman located?

Jacob Hauptman practices at 1321 NE 99th Ave #200, Portland, OR 97220. The listed phone number is (503) 215-4250.

What is Jacob Hauptman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacob Hauptman enrolled in Medicare?

Yes. Jacob Hauptman 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.

Is Jacob Hauptman affiliated with any hospitals?

According to CMS data, Jacob Hauptman is affiliated with Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Hauptman was last updated on October 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.