Dr John Tyler Thiesing, MD - Medicare Interventional Radiology in Portland, OR

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Dr John Tyler Thiesing, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Providence Health And Services Oregon, Bridgeport Medical Imaging, Llc, Trg, Llc, Center For Medical Imaging Llc and his current practice location is 9205 Sw Barnes Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-4830.

Dr John Tyler Thiesing is licensed to practice in Oregon (license number MD27230) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225104599.

Contact Information

Dr John Tyler Thiesing, MD
9205 Sw Barnes Rd,
Portland, OR 97225-6603
(503) 216-4830
Not Available

Map and Direction




Physician's Profile

Full NameDr John Tyler Thiesing
GenderMale
SpecialityInterventional Radiology
Experience22 Years
Location9205 Sw Barnes Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Tyler Thiesing attended and graduated from Oregon Health Sciences University School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1225104599
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 10/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7517039654
  • Enrollment ID: I20080707000026

Medical Identifiers

Medical identifiers for Dr John Tyler Thiesing such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225104599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 27230 (Oregon)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD27230 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital
Providence Newberg Medical CenterNewberg, ORHospital
Providence Seaside HospitalSeaside, ORHospital
Providence Portland Medical CenterPortland, ORHospital
Providence Milwaukie HospitalMilwaukie, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081344
Bridgeport Medical Imaging, Llc317367041127
Trg, Llc882028361731
Center For Medical Imaging Llc933519154326

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John Tyler Thiesing allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameCenter For Medical Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275505448
PECOS PAC ID: 9335191543
Enrollment ID: O20050216000427
Entity NameBridgeport Medical Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922253525
PECOS PAC ID: 3173670411
Enrollment ID: O20090402000485
Entity NameTrg, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467771121
PECOS PAC ID: 8820283617
Enrollment ID: O20101105000754

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Tyler Thiesing is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Tyler Thiesing, MD
Po Box 25184,
Portland, OR 97298-0184

Ph: (503) 292-9108		Dr John Tyler Thiesing, MD
9205 Sw Barnes Rd,
Portland, OR 97225-6603

Ph: (503) 216-4830

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.