BERT G TAVELLI (MD) – Dermatology Physician, NPI 1013918978
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BERT G TAVELLI (MD)
1130, Northwest 22nd Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States
STE 330
PORTLAND, OR 972102900
Phone: (503) 295-2366
Fax: (503) 295-3065
Type: Mailing
2525 NW LOVEJOY ST STE 400
PORTLAND, OR 972102865
Phone: (503) 223-1933
Fax: (503) 223-1947
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $254.
Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($85).
Total Amount
$254
General + Research + Ownership
Payments
11
Total payment records
General Amount
$254
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $85 |
| GENZYME CORPORATION | $52 |
| Janssen Biotech, Inc. | $26 |
| PFIZER INC. | $26 |
| Fresenius Kabi USA, LLC | $19 |
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: 2005-06-15
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 |
|---|---|---|---|---|
| I20050615000046 | I | Dermatology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 365 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 337 | 300 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 154 | 143 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 111 | 102 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 101 | 93 | $0 |
Insurance plans in this area (ZIP 97210)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OR | 11101 | Biopsy of each additional growth of skin and/or tissue | 72 | 58 |
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