Individual provider Active NPI

Trevor Dee Jorgensen, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Forest Grove, OR
National Provider Identifier
1639303597
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD166203 Issued in OR
Practice address
2005 Cedar St
Forest Grove, OR 97116-1701
Phone
(503) 883-8297
Fax
(503) 836-7568
NPI assigned
May 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD166203 OR Primary

Addresses

Primary practice location

2005 Cedar St
Forest Grove, OR 97116-1701

Mailing address

2005 Cedar St
Forest Grove, OR 97116-1701
Phone (503) 883-8297

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
I20140729002552 OR Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 6204052152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Pain InstituteGroup PAC ID 4789009283, 2 clinicians

Practice addresses (Care Compare)

2005 Cedar St
Forest Grove, OR 97116-1701
Phone (503) 883-8297

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as individual
Quality
85.76
Improvement activities
40
Cost
78.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pain Institute CurrentSince Jun 23, 2020 Accepting new patients

Locations

2005 Cedar St
Forest Grove, OR 97116
Phone (503) 883-8297

2003 Cedar St
Forest Grove, OR 97116

Interoperability endpoints

  • Direct secure messaging: trevor.jorgensen@nwpi.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1639303597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CEDAR ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161701",
            "telephone_number": "503-883-8297",
            "fax_number": "503-836-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CEDAR ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161701",
            "telephone_number": "503-883-8297",
            "fax_number": "503-836-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "TREVOR",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "MD166203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

Verify at the official NPI Registry.