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MELISSA DE MATTOS DDS
NPI 1669126744
Dentist - General Practice in Portland, OR

Active since February 08, 2022PECOS Enrolled
13831 NW CORNELL RD STE C, PORTLAND, OR 97229(503) 718-3762 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa De Mattos Dds NPPES

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

MELISSA DE MATTOS DDS (NPI 1669126744) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D11566) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669126744
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMELISSA DE MATTOSCredential: DDS
Location Address13831 NW CORNELL RD STE CPortland, OR 97229-5465
Mailing AddressPo Box 11470Eugene, OR 97440-3670
Phone(503) 718-3762
Sole ProprietorNo
Enumeration DateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
✔ NPI 1669126744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D11566
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License D11566 (OR)
13831 NW CORNELL RD STE C, Portland, OR 97229
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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 (PECOS)

Melissa De Mattos Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97229 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.

Other Providers at the Same Location NPPES 4

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

BENIAMIN MURESAN
Dental Hygienist
13831 NW CORNELL RD STE C
PORTLAND, OR 97229
Washington County (503) 718-3762
ROLAND LEE D.M.D.
Dentist (General Practice)
13831 NW CORNELL RD STE C
PORTLAND, OR 97229
Washington County (503) 718-3762
MARIA LETICIA DUVAL DMD
Dentist (General Practice)
13831 NW CORNELL RD STE C
PORTLAND, OR 97229
Washington County (503) 718-3762
DR. SAMUEL S. CHEN D.D.S.
Dentist (General Practice)
13831 NW CORNELL RD STE C
PORTLAND, OR 97229
Washington County (503) 644-9797

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 Melissa De Mattos's NPI number?

The NPI number for Melissa De Mattos is 1669126744. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Melissa De Mattos located?

Melissa De Mattos practices at 13831 NW Cornell Rd Ste C, Portland, OR 97229. The listed phone number is (503) 718-3762.

What is Melissa De Mattos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Melissa De Mattos enrolled in Medicare?

Yes. Melissa De Mattos is registered in the Medicare PECOS enrollment system.

What insurance does Melissa De Mattos accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Melissa De Mattos 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 Melissa De Mattos was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.