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EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC
NPI 1225567928
Orthopaedic Surgery in Clackamas, OR

Active since June 06, 2017
10121 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015(503) 659-1769(503) 659-7522 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2025, Aug 14, 2024, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Eastside Orthopedics & Sports Medicine, Llc NPPES

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

EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC (NPI 1225567928) is a healthcare organization registered as an orthopaedic surgery in Clackamas, Oregon and active in the NPI registry since June 2017. The organization lists Paul D Ruesch, Md/ Physician, as its authorized official.

NPPES Registry Identity

NPI1225567928
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameEASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC
Location Address10121 SE SUNNYSIDE RD STE 100Clackamas, OR 97015-5755
Mailing Address10121 Se Sunnyside Rd Ste 100Clackamas, OR 97015-5755 · (503) 659-1769 · Fax (503) 659-7522
Phone(503) 659-1769
Fax(503) 659-7522
Organization SubpartNo
Authorized OfficialPaul D RueschMd/ Physician · (503) 659-1964
Enumeration DateJune 6, 2017
Last NPPES UpdateJune 30, 20264 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1225567928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License MD183085 (OR)
10121 SE SUNNYSIDE RD STE 100, Clackamas, OR 97015
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastside Orthopedics & Sports Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Eastside Orthopedics & Sports Medicine, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Bret Kean, MD
Orthopedic Surgery
NPI 1871797654
10121 SE SUNNYSIDE RD STE 100
Clackamas, OR 97015
(503) 659-1769
✔ PECOS✔ Accepts MedicareSame address
Connor Pihl, MD
Orthopedic Surgery
NPI 1891292264
10121 SE SUNNYSIDE RD STE 100
Clackamas, OR 97015
(503) 659-1769
✔ PECOS✔ Accepts MedicareSame address
Paul Ruesch, M.D.
Orthopedic Surgery
NPI 1558393876
10121 SE SUNNYSIDE RD STE 100
Clackamas, OR 97015
(503) 659-1769
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eastside Orthopedics & Sports Medicine, LLC's NPI number?

The NPI number for Eastside Orthopedics & Sports Medicine, LLC is 1225567928. It was assigned to this organization in the NPPES registry on June 6, 2017.

Where is Eastside Orthopedics & Sports Medicine, LLC located?

Eastside Orthopedics & Sports Medicine, LLC is located at 10121 SE Sunnyside Rd Ste 100, Clackamas, OR 97015. The listed phone number is (503) 659-1769.

What is Eastside Orthopedics & Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Eastside Orthopedics & Sports Medicine, LLC enrolled in Medicare?

Yes. Eastside Orthopedics & Sports Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastside Orthopedics & Sports Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Eastside Orthopedics & Sports Medicine, LLC. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eastside Orthopedics & Sports Medicine, LLC accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Eastside Orthopedics & Sports Medicine, LLC 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 Eastside Orthopedics & Sports Medicine, LLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.