JOHN MASON DEPASSE (M.D.) – Orthopaedic Surgery Physician, NPI 1134489131
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 ORTHOPEDIC SURGERY in OR
Provider Addresses for JOHN MASON DEPASSE (M.D.)
PO BOX 1119
PROVIDENCE, RI 029011119
Phone: (401) 443-4150
Type: Mailing
19255 SW 65TH AVE STE 200
TUALATIN, OR 970629712
Phone: (503) 828-1150
Type: Mailing
2 DUDLEY ST STE 200
PROVIDENCE, RI 029053248
Phone: (401) 626-3872
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $1,360.
Total Amount is formed as General ($1,360) + Research ($0) + Ownership ($0) = $1,360.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Providence Medical Technology, Inc. ($668).
Total Amount
$1,360
General + Research + Ownership
Payments
36
Total payment records
General Amount
$1,360
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Providence Medical Technology, Inc. | $668 |
| DePuy Synthes Sales Inc. | $322 |
| Globus Medical, Inc. | $224 |
| MML US, Inc. | $59 |
| OssDsign Incorporated | $34 |
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: 2019-09-04
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 |
|---|---|---|---|---|
| I20190904001844 | 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 | 128 | 91 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 57 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 42 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 32 | 31 | $0 |
Insurance plans in this area (ZIP 02901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR |
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