Dr Dominic Patrick Patillo, MD in Lake Oswego, OR

Dr Dominic Patrick Patillo, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Lake Oswego, Oregon. He went to Washington University School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Orthopedic And Sports Medicine Center Of Oregon Llc and his current practice location is 17355 Lower Boones Ferry Rd, Ste 100a, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 256-5866.

Dr Dominic Patrick Patillo is licensed to practice in Oregon (license number MD151644) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275649162.

Contact Information

	Dr Dominic Patrick Patillo, MD
	17355 Lower Boones Ferry Rd, Ste 100a, Lake Oswego, OR 97035-2839
	(503) 256-5866
	(503) 254-0656

Map and Direction

Physician's Profile

Full Name	Dr Dominic Patrick Patillo
Gender	Male
Speciality	Hand Surgery
Experience	21 Years
Location	17355 Lower Boones Ferry Rd, Lake Oswego, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Dominic Patrick Patillo attended and graduated from Washington University School Of Medicine in 2004

NPI Data:

NPI Number: 1275649162
Provider Enumeration Date: 08/22/2006
Last Update Date: 08/25/2025

Medicare PECOS Information:

PECOS PAC ID: 6709072291
Enrollment ID: I20101123000597

Medical Identifiers

Medical identifiers for Dr Dominic Patrick Patillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275649162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XS0106X	Orthopaedic Surgery - Hand Surgery	MD151644 (Oregon)	Primary
207X00000X	Orthopaedic Surgery	MD151644 (Oregon)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Portland Medical Center	Portland, OR	Hospital
Legacy Good Samaritan Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic And Sports Medicine Center Of Oregon Llc	3678537602	14

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dominic Patrick Patillo allows following entities to bill medicare on his behalf.

Entity Name	Orthopedic & Sports Medicine Center Of Oregon Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891734877 PECOS PAC ID: 3678537602 Enrollment ID: O20041118000526

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dominic Patrick Patillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Dominic Patrick Patillo, MD 17355 Lower Boones Ferry Rd, Ste 100a, Lake Oswego, OR 97035-2839 Ph: (503) 256-5866	Dr Dominic Patrick Patillo, MD 17355 Lower Boones Ferry Rd, Ste 100a, Lake Oswego, OR 97035-2839 Ph: (503) 256-5866

Reviews and Comments

Orthopaedic Surgery Doctors in Lake Oswego, OR

Stephen Fuller, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1055
Ms. Marilyn Louise Yodlowski, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1604 Fax: 503-635-6659
Dr. Derek Edward Lamprecht, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17355 Lower Boones Ferry Rd, Suite 100a, Lake Oswego, OR 97035 Phone: 503-224-8399 Fax: 503-224-5661
Charles Justin Petit, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17355 Lower Boones Ferry Rd, #100a, Lake Oswego, OR 97035 Phone: 503-224-8399 Fax: 503-224-5661
Dr. Michael Raymond Marble, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5226 Dawn Ave, Lake Oswego, OR 97035 Phone: 503-620-2933 Fax: 503-620-8652
Stephen J Wallace, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709

Dr Dominic Patrick Patillo, MD - Medicare Hand Surgery in Lake Oswego, OR