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DR. CRAIG THOMAS GILLIS D.O.
NPI 1861755126
Orthopaedic Surgery in Lake Oswego, OR

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
94.9/100
CMS Quality Rating
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035(503) 850-9940(503) 850-6709 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2020, Jul 2, 2019 (2 updates tracked since 2019).

About Dr. Craig Thomas Gillis D.o. NPPES

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

DR. CRAIG THOMAS GILLIS D.O. (NPI 1861755126) is an individual orthopaedic surgery provider in Lake Oswego, Oregon, licensed in Oregon (DO193270) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Western University Of Health Sciences College Of Dental Med (2012).

NPPES Registry Identity

NPI1861755126
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. CRAIG THOMAS GILLISCredential: D.O.
Location Address4103 MERCANTILE DRLake Oswego, OR 97035
Mailing Address4103 Mercantile DrLake Oswego, OR 97035-2556 · (503) 850-9940 · Fax (503) 850-6709
Phone(503) 850-9940
Fax(503) 850-6709
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2012
Enumeration DateJune 21, 2012
Last NPPES UpdateMay 18, 20202 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
✔ NPI 1861755126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in OR · DO193270✔ Licensed in OR · PG157927
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License DO193270 (OR)
4103 MERCANTILE DR, Lake Oswego, OR 97035
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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 and accepts Medicare assignment

Dr. Craig Thomas Gillis D.o. 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 ID1759659519
PECOS Enrollment IDI20200514000890
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 4

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.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
24 services14 patients
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.
22 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 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.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

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 97035 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.

94.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83
Promoting Interoperability100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

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

MISS AMANDA MAGDALENA KINDER FNP-C
Nurse Practitioner (Family)
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
STEPHEN J WALLACE MD PC
Orthopaedic Surgery (Orthopaedic Trauma)
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
DR. STEVEN M MADEY MD
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
DR. ALBERT CHAFFIN M.D.
Pediatrics
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 636-4508
COREY VANDE ZANDSCHULP MD PC
Orthopaedic Surgery
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
MR. ANTHONY LANCE JOHNSON PA-C
Physician Assistant
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
KYLE TANG PA-C
Physician Assistant
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940
SAMANTHA ARCEDIANO PA-C
Physician Assistant
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035
Clackamas County (503) 850-9940

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 Craig Gillis's NPI number?

The NPI number for Craig Gillis is 1861755126. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Craig Gillis located?

Craig Gillis practices at 4103 Mercantile Dr, Lake Oswego, OR 97035. The listed phone number is (503) 850-9940.

What is Craig Gillis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Craig Gillis enrolled in Medicare?

Yes. Craig Gillis 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 Craig Gillis accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Craig Gillis 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 Craig Gillis affiliated with any hospitals?

According to CMS data, Craig Gillis is affiliated with Legacy Emanuel Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Gillis was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.