BERT G TAVELLI MD
NPI 1013918978
Dermatology in Portland, OR
About Bert G Tavelli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERT G TAVELLI MD (NPI 1013918978) is an individual dermatology provider in Portland, Oregon, licensed in Oregon (MD 14681) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bert G Tavelli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bert Tavelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97210
- Reassigned Medicare billing, Oregon enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97210
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 Bert Tavelli's NPI number?
The NPI number for Bert Tavelli is 1013918978. It was assigned to this individual provider in the NPPES registry on August 2, 2005.
Where is Bert Tavelli located?
Bert Tavelli practices at 2525 NW Lovejoy St Ste 400, Portland, OR 97210. The listed phone number is (503) 223-1933.
What is Bert Tavelli's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Bert Tavelli enrolled in Medicare?
Yes. Bert Tavelli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bert Tavelli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bert Tavelli reassigns Medicare benefits to NW Dermatology And Research Center, LLC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bert Tavelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bert Tavelli was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bert G Tavelli, MD · NPI 1013918978
Dermatology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 2, 2005.
## Identity
- **NPI:** 1013918978 (Entity type: Individual)
- **Enumerated:** August 2, 2005
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** MD 14681 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 NW LOVEJOY ST STE 400, Portland, OR 97210-2865
- **Phone:** (503) 223-1933 · **Fax:** (503) 223-1947
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** NW Dermatology And Research Center, LLC (NPI 1679852396, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013918978) · Data from the CMS NPPES public registry.