Active NPI 1013918978 Individual Practitioner Male Practitioner

Dr. Bert G Tavelli , MD

Dermatology • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Bert Tavelli, MD is a registered healthcare professional specializing in Dermatology in Portland, OR. Practice services are available at 2525 NW LOVEJOY ST STE 400 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of skin growth, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2525 Nw Lovejoy St Ste 400

Portland, OR 972102865

Telephone 5032231933

Fax 5032231947

Associated Practice Facility / Clinic

🏢 Nw Dermatology And Research Center, Llc Facility NPI 1679852396

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Portland, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.6 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

83 Specialists

Practicing in Portland, OR (217 Statewide)

Telehealth Adoption Rate

10.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$235.00	$90.61
17000 Destruction of skin growth	13	13	$218.00	$54.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	365	103	$19.00	$7.15
99213 Established patient office or other outpatient visit, typically 15 minutes	337	300	$235.00	$92.75
17000 Destruction of skin growth	154	143	$218.00	$61.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	102	$278.00	$131.06
11102 Tangential biopsy of single skin lesion	101	93	$300.00	$94.01
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	47	37	$470.00	$165.35
11103 Biopsy of related skin growth, each additional growth	42	30	$140.00	$53.09
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$500.00	$188.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	788	169	$19.00	$7.23
99213 Established patient office or other outpatient visit, typically 15 minutes	539	406	$235.00	$93.44
88305 Pathology examination of tissue using a microscope, intermediate complexity	445	184	$149.10	$39.64
17000 Destruction of skin growth	260	215	$218.00	$59.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	166	$278.00	$129.52
11102 Tangential biopsy of single skin lesion	145	126	$300.00	$93.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	139	61	$470.00	$138.70
11103 Biopsy of related skin growth, each additional growth	39	34	$115.38	$54.10
11104 Punch biopsy, first skin growth	30	26	$300.00	$126.56
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	17	$476.00	$185.25
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	17	$387.00	$113.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$280.00	$114.87
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	15	$500.00	$159.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	13	$818.00	$308.78
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	13	$793.00	$334.31
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	13	12	$325.75	$159.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	480	188	$45.94	$39.58
99213 Established patient office or other outpatient visit, typically 15 minutes	387	340	$102.59	$94.85
17003 Destruction of precancer skin growth, 2-14 growths	271	82	$7.32	$7.04
11102 Tangential biopsy of single skin lesion	142	130	$117.70	$95.11
17000 Destruction of skin growth	113	109	$77.31	$56.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	101	61	$209.59	$140.62
11103 Biopsy of related skin growth, each additional growth	70	51	$57.17	$56.74
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	43	34	$204.33	$156.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$159.92	$131.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	31	$62.35	$59.00
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	25	$225.21	$198.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$125.14	$114.81
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	17	$389.09	$389.09
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	17	16	$334.95	$338.14
96574 Application of light with debridement to destroy precancer skin growth	17	17	$314.96	$315.24
11104 Punch biopsy, first skin growth	17	14	$138.84	$127.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$327.65	$318.91
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$82.05	$76.14
69100 Biopsy of ear	11	11	$124.58	$67.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	714	251	$41.26	$40.58
17003 Destruction of precancer skin growth, 2-14 growths	601	151	$8.26	$6.48
99213 Established patient office or other outpatient visit, typically 15 minutes	584	432	$102.42	$78.05
11102 Tangential biopsy of single skin lesion	213	179	$143.31	$92.46
17000 Destruction of skin growth	211	174	$90.44	$56.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	128	$156.63	$113.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	119	53	$268.40	$133.44
11103 Biopsy of related skin growth, each additional growth	97	58	$77.33	$56.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	77	$63.59	$47.68
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	81	45	$254.09	$152.39
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	52	38	$295.14	$177.66
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$95.69	$78.63
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	34	32	$410.51	$392.21
96574 Application of light with debridement to destroy precancer skin growth	34	32	$363.49	$289.02
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	28	24	$448.89	$324.26
11104 Punch biopsy, first skin growth	25	25	$182.04	$128.91
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	22	$390.16	$322.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$174.87	$112.32
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	20	13	$212.98	$167.92
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	18	$231.54	$108.56
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	16	$420.32	$143.62
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$384.93	$144.80
69100 Biopsy of ear	13	12	$128.09	$56.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$326.45	$131.83
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$231.27	$130.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	662	492	$97.69	$76.59
17003 Destruction of precancer skin growth, 2-14 growths	589	169	$7.34	$5.89
88305 Pathology examination of tissue using a microscope, intermediate complexity	562	239	$41.23	$40.18
17000 Destruction of skin growth	245	215	$85.30	$58.06
11102 Tangential biopsy of single skin lesion	207	176	$133.19	$91.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	175	$146.98	$111.97
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	119	61	$246.25	$140.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	61	$58.30	$46.49
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$101.18	$78.39
11103 Biopsy of related skin growth, each additional growth	61	41	$71.95	$55.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$148.64	$111.70
11104 Punch biopsy, first skin growth	33	33	$171.11	$128.65
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	32	22	$246.30	$150.06
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	25	$257.32	$186.76
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	28	25	$415.90	$391.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	22	$362.71	$312.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	16	$3.89	$1.57
96574 Application of light with debridement to destroy precancer skin growth	22	21	$347.84	$271.94
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	21	19	$391.39	$306.95
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	16	$348.91	$141.94
Q0112 All potassium hydroxide (koh) preparations	18	17	$15.00	$5.71
11900 Injection into skin growth, 1-7 growths	18	15	$75.99	$53.54
69100 Biopsy of ear	17	16	$134.10	$75.82
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$234.65	$122.49
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	12	$219.33	$148.03
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$172.80	$148.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,802	17	$1.62	$1.41
17003 Destruction of precancer skin growth, 2-14 growths	880	206	$9.01	$5.45
99213 Established patient office or other outpatient visit, typically 15 minutes	675	485	$119.97	$74.43
88305 Pathology examination of tissue using a microscope, intermediate complexity	639	248	$54.02	$40.66
17000 Destruction of skin growth	339	271	$110.02	$57.67
11100 Biopsy of single growth of skin and/or tissue	232	203	$175.26	$99.67
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	131	59	$299.08	$121.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	113	$157.64	$110.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	95	$73.98	$44.91
99202 New patient office or other outpatient visit, typically 20 minutes	74	74	$135.32	$77.24
11101 Biopsy of each additional growth of skin and/or tissue	73	55	$49.64	$33.23
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	61	43	$304.71	$161.67
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	37	29	$353.32	$179.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$194.79	$110.51
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	27	15	$978.31	$146.83
96573 Application of light by qualified health care professional to destroy precancer skin growth	25	19	$381.75	$199.93
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$515.04	$314.50
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	14	$504.72	$295.32
69100 Biopsy of ear	15	14	$149.16	$59.41
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	13	12	$358.36	$206.35
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$434.95	$123.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	736	272	$93.31	$41.39
17003 Destruction of precancer skin growth, 2-14 growths	696	170	$13.00	$5.77
99213 Established patient office or other outpatient visit, typically 15 minutes	652	469	$166.00	$74.39
11100 Biopsy of single growth of skin and/or tissue	265	229	$239.00	$90.63
17000 Destruction of skin growth	260	213	$153.00	$53.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	137	$100.00	$44.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	146	79	$402.00	$123.47
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$171.00	$75.70
11101 Biopsy of each additional growth of skin and/or tissue	98	66	$74.00	$32.84
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	78	57	$427.00	$145.14
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	56	41	$468.00	$166.16
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	38	24	$438.00	$153.81
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	29	$698.00	$306.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$246.00	$109.38
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	22	15	$217.00	$70.63
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	21	21	$675.00	$301.21
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	20	17	$477.00	$191.48
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	17	13	$558.00	$213.41
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	11	$318.00	$142.38
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	11	$360.94	$350.76
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$623.00	$139.16
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	14	$593.00	$264.54
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	12	$547.00	$122.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$247.00	$109.89
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$569.00	$127.36
Q0112 All potassium hydroxide (koh) preparations	11	11	$22.00	$5.74

Medical Specialties & State Licenses

CMS Verified: 2021-07-22

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OR MD 14681

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Janet Roberts , MD

Dermatology - Procedural Dermatology

NPI 1114078763

Doctor of Medicine (M.D.)

Dr. Nisha Desai , MD

Dermatology

NPI 1265605984

Doctor of Medicine (M.D.)

Katelyn Beilby , PA-C

Physician Assistant

NPI 1376363978

Physician Assistant (Certified)

Eileen Mcnulty , MPAS, PA-C

Physician Assistant

NPI 1457743478

MPAS, Physician Assistant (Certified)

Dr. Tamar Hajar , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1821401407

Doctor of Medicine (M.D.)

Kerianne Mckeon , PA-C

Physician Assistant - Medical

NPI 1831346717

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 22, 2021

Registered at 2525 NW LOVEJOY ST STE 400, PORTLAND, OR 972102865 (Tel: 5032231933)

📍

Updated Business Mailing Address July 22, 2021

Registered at 2525 NW LOVEJOY ST STE 400, PORTLAND, OR 972102865 (Tel: 5032231933)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1130 NW 22ND AVE, STE 330, PORTLAND, OR 972102900 (Tel: 5032952366)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1130 NW 22ND AVE, STE 330, PORTLAND, OR 972102900 (Tel: 5032952366)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BERT TAVELLI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #MD 14681 in OR)

🟢

Initial NPI Registration & Enumeration August 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013918978

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 02, 2005

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2525 Nw Lovejoy St Ste 400

Portland, OR 972102865

Phone: 5032231933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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