Dustin Jared Smith, MD - Medicare Family Practice in Portland, OR

Dustin Jared Smith, MD is a medicare enrolled "Family Medicine" physician in Portland, Oregon. He went to University Of Washington School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 1321 Ne 99th Ave, Suite 100, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-9900.

Dustin Jared Smith is licensed to practice in Oregon (license number MD156439) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427219567.

Contact Information

Dustin Jared Smith, MD
1321 Ne 99th Ave, Suite 100,
Portland, OR 97220-9437
(503) 215-9900
Not Available

Map and Direction




Physician's Profile

Full NameDustin Jared Smith
GenderMale
SpecialityFamily Practice
Experience16 Years
Location1321 Ne 99th Ave, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dustin Jared Smith attended and graduated from University Of Washington School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1427219567
  • Provider Enumeration Date: 06/20/2008
  • Last Update Date: 01/24/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0648438838
  • Enrollment ID: I20200203000919

Medical Identifiers

Medical identifiers for Dustin Jared Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427219567NPI-NPPES
P01027050OtherORRR MEDICARE (PROVIDENCE)
500640264MedicaidOR
808095300MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MR-0995 (Idaho)Secondary
207Q00000XFamily Medicine MD156439 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dustin Jared Smith allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dustin Jared Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dustin Jared Smith, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494
Dustin Jared Smith, MD
1321 Ne 99th Ave, Suite 100,
Portland, OR 97220-9437

Ph: (503) 215-9900

Reviews and Comments


Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D.
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Katy L Bochat, DO
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Dr. Timothy P Janzen, M.D.
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Alison Mitchell, MD
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Dr. Steven Colin Jackson, MD
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Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204
Phone: 503-988-3674    Fax: 503-988-5779

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.