DR. DOMINIC PATRICK PATILLO MD
NPI 1275649162
Orthopaedic Surgery - Hand Surgery in Lake Oswego, OR

Q: What is Dominic Patillo's NPI number?

The NPI number for Dominic Patillo is 1275649162. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Dominic Patillo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Dominic Patillo was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

17355 LOWER BOONES FERRY RD, STE 100A, LAKE OSWEGO, OR 97035(503) 256-5866(503) 254-0656 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Dominic Patrick Patillo Md NPPES

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

DR. DOMINIC PATRICK PATILLO MD (NPI 1275649162) is an individual hand surgery provider in Lake Oswego, Oregon, licensed in Oregon (MD151644) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1275649162

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. DOMINIC PATRICK PATILLOCredential: MD

Location Address17355 LOWER BOONES FERRY RD, STE 100ALake Oswego, OR 97035-2839

Mailing Address17355 Lower Boones Ferry Rd, Ste 100aLake Oswego, OR 97035-2839 · (503) 256-5866 · Fax (503) 254-0656

Phone(503) 256-5866

Fax(503) 254-0656

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 2004

Enumeration DateAugust 22, 2006

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 18, 2025

✔ NPI 1275649162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in OR · MD151644

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD151644 (OR)

17355 LOWER BOONES FERRY RD, Lake Oswego, OR 97035

Open in Google Maps ↗

Secondary Practice Location 1

Location 15050 NE Hoyt St Ste 668Portland, OR 97213-2990 · Phone (503) 224-8399

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dominic Patrick Patillo 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.

PECOS PAC ID6709072291

PECOS Enrollment IDI20101123000597

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.

Areas of Expertise CMS Part B claims 16

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

140 services117 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

103 services62 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

91 services59 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

86 services54 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

81 services81 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

77 services62 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

64 services60 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services50 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

48 services42 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

43 services27 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

43 services33 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

42 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

30 services26 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

26 services22 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

Adventist Health Tillamook

Critical Access Hospitals · Tillamook, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381317

Location1000 Third StreetTillamook, OR 97141 · Tillamook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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.

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$13.19 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$6.55 avg. paid by Medicare

Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808

DME-Orthotic Devices · category DF000N

1 supplier19 claims19 services$258.67 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

2 suppliers42 claims52 services$29.77 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913

DME-Orthotic Devices · category DF000N

2 suppliers25 claims26 services$183.54 avg. paid by Medicare

Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf L3925

DME-Orthotic Devices · category DF000N

1 supplier13 claims18 services$47.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEREK EDWARD LAMPRECHT D.O.

Orthopaedic Surgery (Sports Medicine)

17355 LOWER BOONES FERRY RD, SUITE 100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 224-8399

DR. KENNETH WEBSTER HEGEWALD D.P.M.

Podiatrist (Foot & Ankle Surgery)

17355 LOWER BOONES FERRY RD, STE 100A
PORTLAND, OR 97035

Clackamas County (503) 224-8399

JENNIFER MARONEK OT

Occupational Therapist

17355 LOWER BOONES FERRY RD, STE 100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 224-8399

ORTHOPEDIC & SPORTS MEDICINE CENTER OF OREGON LLC

Orthopaedic Surgery

17355 LOWER BOONES FERRY RD, STE 100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 224-8399

EMILY C NGUYEN MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

17355 LOWER BOONES FERRY RD, STE 100A
PORTLAND, OR 97035

Clackamas County (503) 224-8399

CHARLES JUSTIN PETIT M.D.

Orthopaedic Surgery (Sports Medicine)

17355 LOWER BOONES FERRY RD, #100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 224-8399

KENDRA LAURY BLOSSER PA-C

Physician Assistant

17355 LOWER BOONES FERRY RD, STE 100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 224-8399

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 Dominic Patillo's NPI number?

The NPI number for Dominic Patillo is 1275649162. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Dominic Patillo located?

Dominic Patillo practices at 17355 Lower Boones Ferry Rd Ste 100A, Lake Oswego, OR 97035. The listed phone number is (503) 256-5866.

What is Dominic Patillo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Dominic Patillo enrolled in Medicare?

Yes. Dominic Patillo 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.

What insurance does Dominic Patillo accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Dominic Patillo 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.

Is Dominic Patillo affiliated with any hospitals?

According to CMS data, Dominic Patillo is affiliated with Legacy Good Samaritan Medical Center, Providence Portland Medical Center and Adventist Health Tillamook.

When was this NPI record last updated?

The NPPES record for Dominic Patillo was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.