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Dr. Philip A. Devasto , DC

Chiropractor β€’ Lake Oswego, OR

Active NPI 1548566227 Individual Practitioner Male Practitioner
Practice location in NPPES

16679 Boones Ferry Rd Ste 105
Lake Oswego, OR 970354378

Call 5036356005 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

16679 Boones Ferry Rd Ste 105

Lake Oswego, OR 970354378

Telephone 5036356005
Organization at the Same NPPES Address or Phone
Modern Chiropractic, Llc Facility NPI 1972378438

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Western States College Of Chiropractic

Graduation Year

2010

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Devasto has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Lake Oswego and Oregon

41 active clinicians are listed under Chiropractor with a practice address in Lake Oswego, OR (1,881 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lake Oswego

0% of these 41 clinicians have the CMS telehealth indicator.

12.2% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-15
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES OR 4081

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20130416000222

Enrollment State Jurisdiction

OR

PECOS Control ID

3870739964

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1487622486

Doctor of Chiropractic

NPI 1992767248

Doctor of Chiropractic, LPT

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 15, 2023

Registered at 16679 BOONES FERRY RD STE 105, LAKE OSWEGO, OR 970354378 (Tel: 5036356005)

πŸ“
Updated Business Mailing Address November 15, 2023

Registered at 4817 SW HUMPHREY PARK CRST, PORTLAND, OR 972212333 (Tel: 6173651527)

βœ…
NPI Profile Active March 07, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 07, 2013

Registered at 1102 NW 10TH AVE, PORTLAND, OR 972093472 (Tel: 5032272279)

πŸ“
Business Mailing Address (Initial Record) March 07, 2013

Registered at 5233 NE BROADWAY ST, PORTLAND, OR 972132758 (Tel: 6173651527)

πŸ‘€
Provider Name / Credentials (Initial Record) March 07, 2013

Recorded as PHILIP DEVASTO, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2013

Chiropractor (license number reported to NPPES: OR 4081)

🟒
Initial NPI Registration & Enumeration January 28, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548566227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2011
Last Update: November 15, 2023
Sole Proprietor: No

Other Chiropractors in Lake Oswego

All Chiropractors in Lake Oswego

Mailing Address

4817 Sw Humphrey Park Crst

Portland, OR 972212333

Phone: 6173651527

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.