Individual provider Active NPI

Jennifer Sigrid Barklund, MD

  • MOHS-Micrographic Surgery Physician
  • Medford, OR
National Provider Identifier
1316331325
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD198377 Issued in OR
Practice address
2959 Siskiyou Blvd
Medford, OR 97504-8131
Phone
(541) 773-3636
Fax
(541) 773-4643
NPI assigned
Mar 27, 2015
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R-11408 IA
MOHS-Micrographic Surgery Physician 207ND0101X MD198377 OR Primary

Addresses

Primary practice location

2959 Siskiyou Blvd
Medford, OR 97504-8131

Mailing address

2959 Siskiyou Blvd
Medford, OR 97504-8131
Phone (541) 773-3636

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713003126 OR Practitioner - Dermatology 6901229475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Laser Assoc. of MedfordGroup PAC ID 9436122793, 11 clinicians

Practice addresses (Care Compare)

2959 Siskiyou Blvd
Suite B
Medford, OR 97504-8131
Phone (541) 773-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as group
Quality
99.5
Promoting interoperability
100
Improvement activities
40
Cost
86.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision56
Removal of skin lesions631
Removal of skin cancer762
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R-11408IAMDDermatology Physician
MD198377ORMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Laser Associates of Medford Dermatology CurrentSince Aug 1, 2020 Accepting new patients

Locations

2959 Siskiyou Blvd
Medford, OR 97504
Phone (507) 773-3636

2959 Siskiyou Blvd
Ste B
Medford, OR 97504
Phone (541) 773-3636

2959 Siskiyou Blvd
Ste C
Medford, OR 97504

Interoperability endpoints

  • Direct secure messaging: jbarklund@dermlasermedford.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1316331325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636",
            "fax_number": "541-773-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636",
            "fax_number": "541-773-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKLUND",
        "first_name": "JENNIFER",
        "middle_name": "SIGRID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "R-11408",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "MD198377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.