DR. VINCENT COLASURDO D.M.D.
NPI 1013317676
Dentist - General Practice in Portland, OR

Active since September 01, 2014PECOS Enrolled
833 SW 11TH AVE, SUITE 723, PORTLAND, OR 97205(503) 223-7661 Get Directions Write a Review

NPPES record last updated: September 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Vincent Colasurdo D.m.d. NPPES

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

DR. VINCENT COLASURDO D.M.D. (NPI 1013317676) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D10138) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013317676
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VINCENT COLASURDOCredential: D.M.D.
Location Address833 SW 11TH AVE, SUITE 723Portland, OR 97205-2125
Mailing Address833 Sw 11th Ave, Suite 723Portland, OR 97205-2125 · (503) 223-7661
Sole ProprietorNo
Enumeration DateSeptember 1, 2014
NPI 1013317676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D10138
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

833 SW 11TH AVE, Portland, OR 97205

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vincent Colasurdo D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97205 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
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

Dentist (General Practice)
833 SW 11TH AVE, STE 500
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, SUITE 1010
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, SUITE 600
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, STE 616
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, SUITE 1018
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE
PORTLAND, OR 97205
Psychologist
833 SW 11TH AVE, SUITE 424
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, #810
PORTLAND, OR 97205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013317676, enumerated as an "individual" on September 01, 2014.

The provider is located at 833 SW 11TH AVE SUITE 723 PORTLAND, OR 97205 and the phone number is (503) 223-7661.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.