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DR. TOM C DEROCHE M.D.
NPI 1407021512
Pathology - Anatomic Pathology & Clinical Pathology in Portland, OR

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment
9701 SW BARNES RD # LL60, PORTLAND, OR 97225(503) 297-8081(503) 292-6601 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 9, 2024, May 17, 2022, Feb 4, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Tom C Deroche M.d. NPPES

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

DR. TOM C DEROCHE M.D. (NPI 1407021512) is an individual anatomic pathology & clinical pathology provider in Portland, Oregon, licensed in Oregon (MD172846) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407021512
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. TOM C DEROCHECredential: M.D.
Location Address9701 SW BARNES RD # LL60Portland, OR 97225-6772
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 297-8081
Fax(503) 292-6601
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2005
Enumeration DateApril 29, 2008
Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1407021512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in OR · MD172846
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
9701 SW BARNES RD # LL60, Portland, OR 97225
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Secondary Practice Locations 2

Location 110180 SE Sunnyside RdClackamas, OR 97015-8970 · Phone (503) 652-2880
Location 213705 NE Airport Way Ste CPortland, OR 97230-1048 · Phone (619) 701-8334

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. Tom C Deroche M.d. 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 ID7719160415
PECOS Enrollment IDI20150921001264
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 5

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
91 services57 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
53 services27 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
48 services20 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
27 services22 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tom Deroche's NPI number?

The NPI number for Tom Deroche is 1407021512. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Tom Deroche located?

Tom Deroche practices at 9701 SW Barnes Rd # Ll60, Portland, OR 97225. The listed phone number is (503) 297-8081.

What is Tom Deroche's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Tom Deroche enrolled in Medicare?

Yes. Tom Deroche 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.

Is Tom Deroche affiliated with any hospitals?

According to CMS data, Tom Deroche is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Tom Deroche was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.