DR. DOMINIC PATRICK PATILLO (MD) – Orthopaedic Hand Surgery Physician, NPI 1275649162
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 HAND SURGERY in OR
Provider Addresses for DR. DOMINIC PATRICK PATILLO (MD)
5050 NE Hoyt St Ste 668
Portland, OR 972132990
Phone: (503) 224-8399
Type: Location
17355 LOWER BOONES FERRY RD
STE 100A
LAKE OSWEGO, OR 970352839
Phone: (503) 256-5866
Fax: (503) 254-0656
Type: Mailing
Northwest Center for Orthopedics and Rehabilitation, 1515, Northwest 18th Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97209, United States
STE 300
PORTLAND, OR 972092539
Phone: (503) 256-5866
Fax: (503) 254-0656
Type: Mailing
10000, Southeast Main Street, Russellville, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97216, United States
SUITE 327
PORTLAND, OR 972162448
Phone: (503) 256-5866
Fax: (503) 517-8209
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-01-23 • Largest payer in this snapshot: ACUMED LLC ($35).
Total Amount
$161
General + Research + Ownership
Payments
6
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACUMED LLC | $35 |
| Davol Inc. | $33 |
| Nalu Medical, Inc. | $31 |
| Smith+Nephew, Inc. | $24 |
| Bioventus LLC | $21 |
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: 2010-11-23
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 |
|---|---|---|---|---|
| I20101123000597 | I | Hand Surgery | 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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 1,675 | 124 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 505 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 164 | 136 | $0 |
| 20550 | Injection into tendon or ligament | 120 | 79 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 96 | 58 | $0 |
Insurance plans in this area (ZIP 97213)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OR | |
| Orthopedic Surgery | OR | |
| Orthopedic Surgery | OR | |
| Physician Assistant | OR | |
| Occupational Therapist In Private Practice | OR | |
| Sports Medicine, Orthopedic Surgery | OR | |
| Physician Assistant | OR | |
| P O D I A T R Y | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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