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AMY THEPPOTE DPM
NPI 1578980694
Podiatrist - Foot & Ankle Surgery in Milwaukie, OR

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
6542 SE LAKE RD STE 102, MILWAUKIE, OR 97222(503) 659-6686(503) 905-6202 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Dec 12, 2017, Nov 19, 2017 (3 updates tracked since 2017).

About Amy Theppote Dpm NPPES

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

AMY THEPPOTE DPM (NPI 1578980694) is an individual foot & ankle surgery provider in Milwaukie, Oregon, licensed in Oregon (DP184377) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578980694
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameAMY THEPPOTECredential: DPM
Location Address6542 SE LAKE RD STE 102Milwaukie, OR 97222-2245
Mailing Address6542 Se Lake Rd Ste 102Portland, OR 97222-2245 · (503) 659-6686
Phone(503) 659-6686
Fax(503) 905-6202
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1578980694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OR · DP184377
6542 SE LAKE RD STE 102, Milwaukie, OR 97222
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15493 Amy StWest Linn, OR 97068-3320 · Phone (503) 245-2420 · Fax (503) 245-2445
Location 21015 NW 22nd AvePortland, OR 97210-3025 · Phone (503) 413-8401

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

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

Amy Theppote Dpm 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 ID2062719180
PECOS Enrollment IDI20180102002828
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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Theppote reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peacehealth Networks On Demand, LLC
8.0 mi
General Practice
11958 SW GARDEN PL
Tigard, OR 97223
  • Reassigned Medicare billing, Oregon enrollment
  • 87 clinicians in this Medicare group
NPI 1023582178 (503) 684-8252

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

Other Providers at the Same Location NPPES

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

NORTHWEST EXTREMITY SPECIALISTS LLC
Clinic/Center (Podiatric)
6542 SE LAKE RD STE 102
MILWAUKIE, OR 97222
Clackamas County (503) 659-6686

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 Amy Theppote's NPI number?

The NPI number for Amy Theppote is 1578980694. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Amy Theppote located?

Amy Theppote practices at 6542 SE Lake Rd Ste 102, Milwaukie, OR 97222. The listed phone number is (503) 659-6686.

What is Amy Theppote's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Amy Theppote enrolled in Medicare?

Yes. Amy Theppote 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 organization bills Medicare for Amy Theppote's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Theppote reassigns Medicare benefits to Peacehealth Networks On Demand, LLC (Tigard, OR). The 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 Amy Theppote's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Theppote accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Amy Theppote 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 Amy Theppote was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.