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DR. JEREMIAH LEARY D.M.D
NPI 1891086229
Dentist in Portland, OR

Active since April 19, 2011PECOS Enrolled
5440 SW WESTGATE DR STE 165, PORTLAND, OR 97221(503) 297-1471 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 13, 2017 (2 updates tracked since 2017).

About Dr. Jeremiah Leary D.m.d NPPES

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

DR. JEREMIAH LEARY D.M.D (NPI 1891086229) is an individual dentist in Portland, Oregon, licensed in Oregon (D9576) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1891086229
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEREMIAH LEARYCredential: D.M.D
Location Address5440 SW WESTGATE DR STE 165Portland, OR 97221-2421
Mailing Address10535 Ne Glisan St Ste 301Portland, OR 97220-4077
Phone(503) 297-1471
Sole ProprietorYes
Enumeration DateApril 19, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1891086229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D9576
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5440 SW WESTGATE DR STE 165, Portland, OR 97221
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Secondary Practice Location 1

Location 110535 NE Glisan StPortland, OR 97220-4077 · Phone (503) 444-2824

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremiah Leary D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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 Jeremiah Leary's NPI number?

The NPI number for Jeremiah Leary is 1891086229. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Where is Jeremiah Leary located?

Jeremiah Leary practices at 5440 SW Westgate Dr Ste 165, Portland, OR 97221. The listed phone number is (503) 297-1471.

What is Jeremiah Leary's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jeremiah Leary enrolled in Medicare?

Yes. Jeremiah Leary is registered in the Medicare PECOS enrollment system.

What insurance does Jeremiah Leary accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Florida Combined Life and 5 other insurers list Jeremiah Leary 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 Jeremiah Leary was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.