MELANIE BERTENELLI (MD) – Family Medicine Physician, NPI 1013364728
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for MELANIE BERTENELLI (MD)
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 970454307
Phone: (503) 655-8471
Fax: (503) 655-8595
Type: Mailing
9775 SE Sunnyside Rd Ste 200
Clackamas, OR 970155721
Phone: (503) 655-8471
Type: Location
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone:
Type: Mailing
37400, Bell Street, Sandy, Clackamas County, Oregon, 97055, United States
SANDY, OR 970557868
Phone: (503) 668-3483
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190926002808 | I | Family Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Clinical Social Worker | OR | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Clinical Social Worker | OR | |
| Clinical Social Worker | OR | |
| - | OR | |
| Clinical Social Worker | OR | |
| Clinical Social Worker | OR |
Reviews
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