ORTHOPEDIC & SPORTS MEDICINE CENTER OF OREGON LLC – Orthopaedic Surgery Physician, NPI 1891734877
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ORTHOPEDIC & SPORTS MEDICINE CENTER OF OREGON LLC
17355 LOWER BOONES FERRY RD
STE 100A
LAKE OSWEGO, OR 97035
Phone: (503) 224-8399
Fax: (503) 224-5661
Type: Mailing
Northwest Center for Orthopedics and Rehabilitation, 1515, Northwest 18th Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97209, United States
SUITE 300
PORTLAND, OR 972092515
Phone: (503) 224-8399
Fax: (503) 224-5661
Type: Mailing
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: 2013-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (220 days ago).
Enrollment records
2
Earliest due date
2025-10-31
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 |
|---|---|---|---|---|
| O20041118000526 | O | Clinic/Group Practice | OR | TBD |
| O20130516000120 | O | Physician - General Practice | OR | 2025-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 97035)
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