DERICK RENE DU VIVIER MD
NPI 1235167024
Anesthesiology in Portland, OR
About Derick Rene Du Vivier Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERICK RENE DU VIVIER MD (NPI 1235167024) is an individual anesthesiology provider in Portland, Oregon, licensed in Oregon (24146) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Emory University School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derick Rene Du Vivier Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Derick Du Vivier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 419 clinicians in this Medicare group
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 279 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORMedicare 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.
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 Derick Du Vivier's NPI number?
The NPI number for Derick Du Vivier is 1235167024. It was assigned to this individual provider in the NPPES registry on June 29, 2006.
Where is Derick Du Vivier located?
Derick Du Vivier practices at 3181 SW Jackson Park Rd., Portland, OR 97239. The listed phone number is (503) 494-7641.
What is Derick Du Vivier's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Derick Du Vivier enrolled in Medicare?
Yes. Derick Du Vivier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Derick Du Vivier's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derick Du Vivier reassigns Medicare benefits to 2 organizations: Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR) and University Anesthesiology Associates, LLC (Portland, OR). Each 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 Derick Du Vivier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Derick Du Vivier affiliated with any hospitals?
According to CMS data, Derick Du Vivier is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Derick Du Vivier was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Derick Rene Du Vivier, MD · NPI 1235167024
Anesthesiology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1235167024 (Entity type: Individual)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 24146 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW JACKSON PARK RD., Portland, OR 97239-3011
- **Phone:** (503) 494-7641
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of Washington - Tcs (NPI 1649816380, Portland, OR); University Anesthesiology Associates, LLC (NPI 1841217817, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** September 13, 2016
- **Other identifiers:** Medicare ID-Type Unspecified 113630; Medicare UPIN H64703; Medicaid 286645 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1235167024) · Data from the CMS NPPES public registry.