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: August 09, 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.

Psychologist (Clinical)
833 SW 11TH AVE, #816
PORTLAND, OR 97205
Naturopath
833 SW 11TH AVE, SUITE #1018
PORTLAND, OR 97205
Social Worker (Clinical)
833 SW 11TH AVE, 612
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, STE 405
PORTLAND, OR 97205
Social Worker (Clinical)
833 SW 11TH AVE, SUITE 320
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, SUITE 810
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, #414
PORTLAND, OR 97205
Speech-Language Pathologist
833 SW 11TH AVE, STE 620
PORTLAND, OR 97205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Colasurdo's NPI number?

The NPI number for Vincent Colasurdo is 1013317676. It was assigned to this individual provider in the NPPES registry on September 1, 2014.

Where is Vincent Colasurdo located?

Vincent Colasurdo practices at 833 SW 11th Ave Suite 723, Portland, OR 97205. The listed phone number is (503) 223-7661.

What is Vincent Colasurdo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Vincent Colasurdo enrolled in Medicare?

Yes. Vincent Colasurdo is registered in the Medicare PECOS enrollment system.

What insurance does Vincent Colasurdo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Dominion National and Renaissance Dental list Vincent Colasurdo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vincent Colasurdo was last updated on September 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.