MR. JESS M MEYER PAC NPI 1245256981

NPI Information

NPI: 1245256981
Provider Name: MR. JESS M MEYER, PAC
Classification: Physician Assistant - 363AS0400X
Specialization: Surgical
Entity Type: Individual
PECOS Registration: Yes
Address: 24076 SE STARK ST
SUITE 110
GRESHAM, OR
ZIP 97030
Phone: (503) 661-5388

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NPI Details

MR. Jess M Meyer, PAC is a surgical physician assistant in Gresham, OR with 22 years of experience. MR. Jess M Meyer, PAC NPI is 1245256981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

24076 SE STARK ST
SUITE 110
GRESHAM, OR
ZIP 97030-373
Phone: (503) 661-5388
Fax: (503) 666-9393

The NPI 1245256981 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Aspiration and/or injection of fluid from large joint (HCPCS:20610)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
Replacement of knee joint, both sides of knee (HCPCS:27447)
X-ray of knee, 4 or more views (HCPCS:73564)
New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
X-ray of shoulder, minimum of 2 views (HCPCS:73030)
X-ray of wrist, minimum of 3 views (HCPCS:73110)
X-ray of knee, 3 views (HCPCS:73562)
Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)

The enumeration date for this NPI number is 7/14/2006 and was last updated on 10/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA10004678	WASHINGTON	No
2	363AS0400X	Physician Assistant	Surgical	PA151986	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q20612	MEDICARE UPIN	WASHINGTON
2	8805791	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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