DR. DERRICK EUGENE CUSTINO M.D.
NPI 1013097146
Family Medicine in Hillsboro, OR

Q: What is Derrick Custino's NPI number?

The NPI number for Derrick Custino is 1013097146. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Derrick Custino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Custino was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment

19400 NW EVERGREEN PKWY, HILLSBORO, OR 97124(503) 645-2762(503) 690-5023 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Derrick Eugene Custino M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERRICK EUGENE CUSTINO M.D. (NPI 1013097146) is an individual family medicine provider in Hillsboro, Oregon, licensed in Oregon (MD22041) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1996).

NPPES Registry Identity

NPI1013097146

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DERRICK EUGENE CUSTINOCredential: M.D.

Location Address19400 NW EVERGREEN PKWYHillsboro, OR 97124-7031

Mailing Address19400 Nw Evergreen PkwyHillsboro, OR 97124-7031 · (503) 645-2762 · Fax (503) 690-5023

Phone(503) 645-2762

Fax(503) 690-5023

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1996

Enumeration DateOctober 16, 2006

Last NPPES UpdateFebruary 4, 2022

NPPES CertifiedFebruary 4, 2022

✔ NPI 1013097146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD22041

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

19400 NW EVERGREEN PKWY, Hillsboro, OR 97124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Derrick Eugene Custino M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406946177

PECOS Enrollment IDI20071218000465

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELLEY SOBEL MSW

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