Active NPI
Jeffrey Robert Watkins, M.D.
- Surgery Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD184094
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Legacy Good Samaritan Medical Center
- Peacehealth Southwest Medical Cente
- Providence St Vincent Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Quality
- 93.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 21 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60631157 | WA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Minimally Invasive Surgery, LLC | Surgery | Current | Accepting new patients |
| Peacehealth | Surgery | Current | 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.
-
dba PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Hospital
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.