Active NPI
Jacob McAvoy, DMSC, PA-C
- Physician Assistant
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA195490
- Practice address
- 651 W 7TH Ave Ste 655
Eugene, OR 97402-5113 - Phone
- (458) 320-0320
- NPI assigned
- Jul 30, 2019
- Last updated
- Apr 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.PA.70003991 | WA | |
| Physician Assistant | 363A00000X | PA195490 | OR | Primary |
Addresses
Primary practice location
651 W 7TH Ave Ste 655
Eugene, OR 97402-5113
Mailing address
8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886
Other practice location 1
5130 Evergreen Way
Everett, WA 98203-2875
Phone (425) 683-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.PA.70003991 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Services Montana-Private, LLC | Current | Accepting new patients | |
| Adapt | Current | Accepting new patients | |
| Adapt | Current | Accepting new patients | |
| Community Medical Services Montana-Private, LLC | Past | Accepting new patients |
Locations
8444 N 90th St
Ste 100
Scottsdale, AZ 85258
Phone (480) 494-2497
651 W 7th Ave
Ste 655
Eugene, OR 97402
Phone (458) 320-0320
548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241
Interoperability endpoints
- jmcavoy324579@direct.ochin.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Roseburg, OR
- NPI 1720010549
-
- Nephrology Physician
- Springfield, OR
- NPI 1073534004
-
dba Adapt Integrated Health Care
- Federally Qualified Health Center (FQHC)
- Bandon, OR
- NPI 1194529289
-
- Substance Abuse Rehabilitation Facility
- Roseburg, OR
- NPI 1649453440
-
dba CMS Eugene
- Methadone Clinic
- Eugene, OR
- NPI 1174362776
-
dba CMS Everett
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Everett, WA
- NPI 1891534418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1154975001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8444 N 90TH ST STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584437",
"telephone_number": "602-248-8886",
"fax_number": "602-854-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 W 7TH AVE STE 655",
"city": "EUGENE",
"state": "OR",
"postal_code": "974025113",
"telephone_number": "458-320-0320"
}
],
"practiceLocations": [
{
"address_1": "5130 Evergreen Way",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982032875",
"country_code": "US",
"telephone_number": "425-683-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCAVOY",
"first_name": "JACOB",
"credential": "DMSC, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-30",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA.PA.70003991",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA195490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.