JERRY WANG OP
NPI 1376119883
Family Medicine in Portland, OR

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment
3550 N INTERSTATE AVE, PORTLAND, OR 97227(321) 576-8536 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2024, Jul 24, 2024, Jun 3, 2021 (3 updates tracked since 2021).

About Jerry Wang Op NPPES

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

JERRY WANG OP (NPI 1376119883) is an individual family medicine provider in Portland, Oregon, licensed in Washington (OP61170696) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2021).

NPPES Registry Identity

NPI1376119883
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJERRY WANGCredential: OP
Location Address3550 N INTERSTATE AVEPortland, OR 97227-1196
Mailing Address3550 N Interstate AvePortland, OR 97227-1196 · (321) 576-8536
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2021
Enumeration DateJune 3, 2021
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1376119883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · OP61170696
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OP61170696 (WA)
3550 N INTERSTATE AVE, Portland, OR 97227

Accepted Insurance

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

Jerry Wang Op 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 ID4587069240
PECOS Enrollment IDI20241010004196, I20241010004214
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Counselor
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Psychologist (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner (Family)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Nurse Practitioner
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Dietitian, Registered
3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE
PORTLAND, OR 97227
Pharmacy (Managed Care Organization Pharmacy)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Social Worker (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3550 N INTERSTATE AVE
PORTLAND, OR 97227

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 Jerry Wang's NPI number?

The NPI number for Jerry Wang is 1376119883. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Jerry Wang located?

Jerry Wang practices at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (321) 576-8536.

What is Jerry Wang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jerry Wang enrolled in Medicare?

Yes. Jerry Wang 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.

What insurance does Jerry Wang accept?

Health plans from Kaiser Permanente list Jerry Wang 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 Jerry Wang was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.