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DR. EVELIN DACKER M.D.
NPI 1861479396
Family Medicine in Salem, OR

Active since December 27, 2005Opted out of Medicare · through Jul 23, 2028
99.14/100
CMS Quality Rating
1105 LIBERTY ST SE, SALEM, OR 97302(971) 225-3331(541) 248-1020 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Evelin Dacker M.d. NPPES

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

DR. EVELIN DACKER M.D. (NPI 1861479396) is an individual family medicine provider in Salem, Oregon, licensed in Oregon (MD20032) and active in the NPI registry since December 2005. She has opted out of Medicare through July 23, 2028 and remains eligible to order and refer, is affiliated with Salem Hospital, and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1861479396
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EVELIN DACKERCredential: M.D.
Location Address1105 LIBERTY ST SESalem, OR 97302-4142
Mailing Address10360 Lake Dr SeSalem, OR 97306-9452 · (503) 510-9027 · Fax (541) 248-1020
Phone(971) 225-3331
Fax(541) 248-1020
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 27, 2005
Last NPPES UpdateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1861479396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD20032
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1105 LIBERTY ST SE, Salem, OR 97302
Open in Google Maps ↗

Secondary Practice Location 1

Location 1374 Owens St SESalem, OR 97302-4183 · Phone (503) 972-0235

Other Identifiers 3

Other132646Medicare- Dr Dacker Indiv
Other082073OR · Omap
OtherMD20032OR · State Medical License

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Evelin Dacker M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 23, 2026 through July 23, 2028.

Opt-Out Effective DateJuly 23, 2026
Opt-Out In Effect ThroughJuly 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Medicare Billing Reassignments

2

Medicare enrollment records show Evelin Dacker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Well Life Family Medicine, LLC
1.5 mi
Clinic/Center
1174 CORNUCOPIA ST NW STE 240
Salem, OR 97304
  • Reassigned Medicare billing, Oregon enrollment
  • 11 clinicians in this Medicare group
NPI 1760998355 (971) 301-4411
Clinicops, LLC
45 mi
Family Medicine
923 NW 14TH AVE
Portland, OR 97209
  • Reassigned Medicare billing, Oregon enrollment
  • 50 clinicians in this Medicare group
NPI 1275821266 (503) 972-0235

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

Areas of Expertise CMS Part B claims 6

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.
43 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
33 services33 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.
18 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97302 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

99.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability98
Improvement Activities40
Cost96.12

Other Providers at the Same Location NPPES 2

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

DANIEL D SAUCY DMD
Dentist
1105 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 399-0724
NICOLE LYN ELSNER RDH
Dental Hygienist
1105 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 399-9790

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 Evelin Dacker's NPI number?

The NPI number for Evelin Dacker is 1861479396. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Evelin Dacker located?

Evelin Dacker practices at 1105 Liberty St SE, Salem, OR 97302. The listed phone number is (971) 225-3331.

What is Evelin Dacker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evelin Dacker enrolled in Medicare?

No. Evelin Dacker has opted out of Medicare through July 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Which organizations bill Medicare for Evelin Dacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelin Dacker reassigns Medicare benefits to 2 organizations: Well Life Family Medicine, LLC (Salem, OR) and Clinicops, LLC (Portland, OR). Each 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 Evelin Dacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evelin Dacker accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Evelin Dacker 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 Evelin Dacker affiliated with any hospitals?

According to CMS data, Evelin Dacker is affiliated with Salem Hospital.

When was this NPI record last updated?

The NPPES record for Evelin Dacker was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.