Individual provider Active NPI

Jeffrey Robert Watkins, M.D.

  • Surgery Physician
  • Vancouver, WA
National Provider Identifier
1720373509
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD184094 Issued in OR
Practice address
505 NE 87TH Ave Ste 301
Vancouver, WA 98664-1965
Phone
(360) 514-7374
Fax
(360) 514-7384
NPI assigned
Jun 9, 2011
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60631157 WA
Surgery Physician 208600000X BP10040007 TX
Surgery Physician 208600000X MD184094 OR Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD60631157 WA

Addresses

Primary practice location

505 NE 87TH Ave Ste 301
Vancouver, WA 98664-1965

Mailing address

1040 NW 22ND Ave Ste 470
Portland, OR 97210-3062
Phone (503) 914-0024

Other practice location 1

1101 Madison St Ste 900
Seattle, WA 98104-1347
Phone (206) 215-6800

Other practice location 2

1040 NW 22nd Ave Ste 470
Portland, OR 97210-3062
Phone (503) 914-0024

Other practice location 3

2222 NW Lovejoy St Ste 322
Portland, OR 97210-5101
Phone (503) 914-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160815002888 WA Practitioner - Thoracic SurgeryPractitioner - General Surgery 4981831567 Reassigns benefits to 2 organizations
I20170928004026 OR Practitioner - General Surgery 4981831567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Minimally Invasive Surgery, LLCGroup PAC ID 5799059309, 3 clinicians
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

1040 NW 22ND Ave
Suite 470
Portland, OR 97210-3062

315 SE Stonemill Dr
Suite 220
Vancouver, WA 98684-6987
Phone (503) 914-0024

505 NE 87TH Ave
Suite 301
Vancouver, WA 98664-1965
Phone (360) 514-2550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Quality
93.8
Promoting interoperability
100
Improvement activities
40
Cost
87.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)21
Upper gastrointestinal (GI) endoscopy for acid reflux50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60631157WAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Minimally Invasive Surgery, LLC Surgery CurrentSince Sep 1, 2017 Accepting new patients
Peacehealth Surgery CurrentSince Jan 5, 2026 Accepting new patients

Locations

10690 NE Cornell Rd
Ste 212
Hillsboro, OR 97124
Phone (503) 446-3808

1040 NW 22nd Ave
Ste 470
Portland, OR 97210
Phone (503) 914-0024

1040 NW 22nd Ave
Ste 480
Portland, OR 97210
Phone (503) 413-6555

2222 NW Lovejoy St
Ste 322
Portland, OR 97210
Phone (503) 229-7224

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

315 SE Stonemill Dr
Ste 220
Vancouver, WA 98684
Phone (360) 816-2700

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

Organizations & group practices 2

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 5

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1720373509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE STE 470",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103062",
            "telephone_number": "503-914-0024",
            "fax_number": "503-914-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE STE 301",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641965",
            "telephone_number": "360-514-7374",
            "fax_number": "360-514-7384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Madison St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041347",
            "country_code": "US",
            "telephone_number": "206-215-6800",
            "fax_number": "206-215-6801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 NW 22nd Ave Ste 470",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103062",
            "country_code": "US",
            "telephone_number": "503-914-0024",
            "fax_number": "503-914-0025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 NW Lovejoy St Ste 322",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972105101",
            "country_code": "US",
            "telephone_number": "503-914-0024",
            "fax_number": "503-914-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60631157",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10040007",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD184094",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD60631157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.