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SAMUEL PHILIP DEVORE PA
NPI 1356013262
Physician Assistant in Hillsboro, OR

Active since September 29, 2021PECOS EnrolledAccepts Medicare Assignment
77.46/100
CMS Quality Rating
10670 NE CORNELL RD BLDG B, HILLSBORO, OR 97124(503) 216-9300 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2026, Sep 29, 2021 (2 updates tracked since 2021).

About Samuel Philip Devore Pa NPPES

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

SAMUEL PHILIP DEVORE PA (NPI 1356013262) is an individual physician assistant in Hillsboro, Oregon and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Kittitas Valley Community Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356013262
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL PHILIP DEVORECredential: PA
Location Address10670 NE CORNELL RD BLDG BHillsboro, OR 97124-9220
Mailing Address3820 S River Pkwy Apt 509Portland, OR 97239-4845 · (541) 910-0627
Phone(503) 216-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2021
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1356013262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10670 NE CORNELL RD BLDG B, Hillsboro, OR 97124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Samuel Philip Devore Pa 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 ID749670511
PECOS Enrollment IDI20211209002202
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.

Hospital Affiliations CMS Care Compare

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

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97124 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.

77.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.16
Promoting Interoperability100
Improvement Activities40
Cost50.69

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 Samuel Devore's NPI number?

The NPI number for Samuel Devore is 1356013262. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Samuel Devore located?

Samuel Devore practices at 10670 NE Cornell Rd Bldg B, Hillsboro, OR 97124. The listed phone number is (503) 216-9300.

What is Samuel Devore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Devore enrolled in Medicare?

Yes. Samuel Devore 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 Samuel Devore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samuel Devore 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 Samuel Devore affiliated with any hospitals?

According to CMS data, Samuel Devore is affiliated with Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Devore was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.