DR. EVAN MATTHEW TAVAKOLI (M.D.) – Orthopaedic Surgery Physician, NPI 1275894461
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
383 ORTHOPEDIC SURGERY in OR
Provider Addresses for DR. EVAN MATTHEW TAVAKOLI (M.D.)
530 9th St
Florence, OR 974397388
Phone: (541) 997-7104
Fax: (541) 997-5975
Type: Location
4502 Medical Dr
San Antonio, TX 782294402
Phone: (210) 358-4000
Type: Location
2305 37th Ave SW
Minot, ND 587017669
Phone: (701) 418-8000
Type: Location
20 S MARKET ST STE 2
CORTEZ, CO 813213502
Phone: (970) 565-2600
Fax: (970) 564-0392
Type: Location
1311 N MILDRED ROAD
CORTEZ, CO 813212231
Phone: (970) 564-2152
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $5,884.
Total Amount is formed as General ($5,884) + Research ($0) + Ownership ($0) = $5,884.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($5,542).
Total Amount
$5,884
General + Research + Ownership
Payments
35
Total payment records
General Amount
$5,884
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $5,542 |
| Avanos Medical | $168 |
| Skeletal Dynamics Inc | $114 |
| Gemini Mountain Medical, LLC | $40 |
| Bioventus LLC | $20 |
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: 2025-07-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250624002946 | I | Orthopedic Surgery | ND | TBD |
| I20250708001248 | I | Orthopedic 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 90 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 124 | 25 | $0 |
| 73502 | X-ray of hip, 2-3 views | 75 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 97439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| - | ND | |
| - | ND | |
| Nurse Practitioner | ND | |
| - | ND | |
| O P T O M E T R Y | ND | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| - | CT | |
| Nurse Practitioner | ND |
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