DAVID SCOT BELLI (PA-C) – Physician Assistant, NPI 1083793509

DAVID SCOT BELLI (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00690 (OR). The NPI Number for DAVID SCOT BELLI (PA-C) is 1083793509

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DAVID SCOT BELLI (PA-C)
NPI
1083793509
Phone
Not provided
Address
PO BOX 3158
Enumeration Date
3 November 2006
Last Update Date
28 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008132000
Graduation Year
1999 (27 years ago)
PAC ID
2668552704
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20080102000473
Address ID
OR970158970CL10180RDXX400

Contacts

SOAP Endpoint
https://proofpointisolation.com/browser?url=https%3A%2F%2Fcareepicwest.kp.org%3A14430%2Finterconnect-prodnwm%2Fwcf%2Fepic.community.hie%2Fxcpdrespondinggatewaysync.svc%2Fceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for DAVID SCOT BELLI (PA-C)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • Northwest Cornell Road, Tanasbourne, Hillsboro, Washington County, Oregon, 97006, United States

    HILLSBORO, OR 971249206

    Phone: (503) 216-9360

    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: 2021-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080102000473IPhysician AssistantORTBD
I20211220000688IPhysician AssistantWATBD

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.

Verify on CMS Revalidation Lookup Tool

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 97208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
P A T H O L O G YWA
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA

Reviews

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Frequently asked questions

Is DAVID SCOT BELLI (PA-C) listed with a National Provider Identifier?
Yes — DAVID SCOT BELLI (PA-C) has NPI 1083793509 on file in the registry.
Is DAVID SCOT BELLI (PA-C) shown as active in public data?
Registry records indicate DAVID SCOT BELLI (PA-C) maintains an active NPI.
What kind of doctor is DAVID SCOT BELLI (PA-C)?
DAVID SCOT BELLI (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is DAVID SCOT BELLI (PA-C) associated with Portland?
Public fields place DAVID SCOT BELLI (PA-C) around Portland, Oregon. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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