MRS. ALYCIA WAI LIN JACKSON M.D.
NPI 1568807410
Family Medicine in Clackamas, OR

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
9290 SE SUNNYBROOK BLVD, #120, CLACKAMAS, OR 97015(503) 215-2110(503) 215-2115 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Alycia Wai Lin Jackson M.d. NPPES

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

MRS. ALYCIA WAI LIN JACKSON M.D. (NPI 1568807410) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (MD180196) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2013).

NPPES Registry Identity

NPI1568807410
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. ALYCIA WAI LIN JACKSONCredential: M.D.
Location Address9290 SE SUNNYBROOK BLVD, #120Clackamas, OR 97015-6899
Mailing Address9290 Se Sunnybrook Blvd, #120Clackamas, OR 97015-6899 · (503) 215-2110 · Fax (503) 215-2115
Fax(503) 215-2115
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2013
Enumeration DateMay 6, 2013
Last NPPES UpdateFebruary 8, 2017
NPI 1568807410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OR · MD180196 Licensed in CA · A133720
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.

9290 SE SUNNYBROOK BLVD, Clackamas, OR 97015

Other Names 1

Former Name (1)Miss Alycia Wai Lin Yee M.d.

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

Mrs. Alycia Wai Lin Jackson 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.

PECOS PAC ID1658685029
PECOS Enrollment IDI20170704000000
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 2024 & 2026 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, 30-39 minutes 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.
53 services38 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services17 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
25 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380021
Location335 SE 8th AvenueHillsboro, OR 97123 · Washington County
Emergency services Birthing friendly

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
$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.

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.

Pediatrics
9290 SE SUNNYBROOK BLVD, STE 200
CLACKAMAS, OR 97015
Internal Medicine
9290 SE SUNNYBROOK BLVD, SUITE 210
CLACKAMAS, OR 97015
Family Medicine
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Internal Medicine
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Pediatrics
9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015
Nurse Practitioner (Adult Health)
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Psychologist (Clinical)
9290 SE SUNNYBROOK BLVD
CLACKAMAS, OR 97015
Marriage & Family Therapist
9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568807410, enumerated as an "individual" on May 06, 2013.

The provider is located at 9290 SE SUNNYBROOK BLVD #120 CLACKAMAS, OR 97015 and the phone number is (503) 215-2110.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.

Alycia Jackson is affiliated with: OHSU HOSPITAL AND CLINICS and HILLSBORO MEDICAL CENTER.