James Francis Tycast, M.D.

Urology

James Francis Tycast is an Urology specialist based in Portland, OR with over 22 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

(503) 223-6223Portland, OR
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

With over 22 years in urology, James Francis Tycast, M.D. is a long-established urologist in Portland. A Saint Louis University School of Medicine graduate since 2004, he brings 22+ years of experience. He regularly sees Medicare patients with hypertension, high cholesterol, and arthritis (per CMS claims data). CMS MIPS quality score: 78.2/100 (2023).

At a glance

  • Uses generic medications more than 48% of reporting doctors in Oregon
  • Federal MIPS score higher than 11% of MIPS-scored doctors in Oregon
  • Virtual visits available — no app or travel required
1 of 57 Urology providers in ORSee all Urology in Portland22+ years experienceNPI since 2007

Older · 5193dNPPES updated 2012-03-05 · verify NPI on CMS · Verify license at Oregon Medical Board

Contact & Location

Practice Location

2230 Nw Pettygrove St Ste 210, Portland, OR 97210-2659

CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor favors affordable generic drugs over brand-name ones.

MIPS Score

2023

78.2/100

Oregon avg: 89.5 · US avg: 83.6

Lower than most doctors nationally(-5.4 pts)

How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.

Opioid Rx

↓ Lower = better

5.87%

Oregon avg: 7 · US avg: 5.1

Lower than most doctors nationally(+0.8 pts)

5.87% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.

Generic Rx

↑ Higher = better

88.2%

Oregon avg: 83.7 · US avg: 82.8

Higher than most doctors nationally(+5.4 pts)

Typical range among reporting doctors in Oregon

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

477

Unique beneficiaries

Standard volume

Prescription Recipients

438

Patients prescribed

Prescriptions Written

1,703

Total claims

Total Medicare drug cost: $658k

Percentile rankings compared against 1,341 reporting peers in Oregon.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Arthritis.

Hypertension
Higher than avg (+1%)71%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+1%) — a focus area for this doctor

High Cholesterol
Lower than avg (-5%)65%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↓ Fewer patients than average (-5%) — less common here

Arthritis
Lower than avg (-9%)40%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↓ Fewer patients than average (-9%) — less common here

Diabetes
Lower than avg (-7%)27%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↓ Fewer patients than average (-7%) — less common here

Chronic Kidney Disease
Lower than avg (-4%)26%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↓ Fewer patients than average (-4%) — less common here

Ischemic Heart Disease
Lower than avg (-8%)24%

Reduced blood flow to the heart muscle, commonly known as coronary artery disease

US avg: 31.7%

↓ Fewer patients than average (-8%) — less common here

Mood Disorders
22%

Conditions affecting emotional state, including depression and bipolar disorder

Atrial Fibrillation
Lower than avg (-1%)21%

An irregular, often rapid heartbeat that increases the risk of stroke

US avg: 22%

↓ Fewer patients than average (-1%) — less common here

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$2.7k received from industry

68 transactions reported in 2024 ·Moderate tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to James Francis Tycast's NPI.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 2004

    Saint Louis University School of Medicine

  2. 22 years in practice

    Experienced

UrologyAllopathic & Osteopathic Physicians

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Taxonomy: 208800000X

Education & Training

Saint Louis University School of Medicine (Class of 2004)

Virtual Urology Care With James Francis Tycast

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with James Francis Tycast for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to Portland required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about James Francis Tycast

Dr. Tycast is listed as active in the NPI registry with telehealth listed in Portland, OR. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (503) 223-6223.

Verified across 6 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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