Active NPI
John Mason Depasse, M.D.
- Orthopaedic Surgery of the Spine Physician
- Tualatin, OR
National Provider Identifier
1134489131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- MD192169
- Practice address
- 19255 SW 65TH Ave Ste 200
Tualatin, OR 97062-9712 - Phone
- (503) 828-1150
- NPI assigned
- May 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD192169 | OR | Primary |
Addresses
Primary practice location
19255 SW 65TH Ave Ste 200
Tualatin, OR 97062-9712
Mailing address
19255 SW 65TH Ave Ste 200
Tualatin, OR 97062-9712
Phone (503) 828-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190904001844 | OR | Practitioner - Orthopedic Surgery | 2466678131 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Baylor College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19255 SW 65TH Ave
Suite 200
Tualatin, OR 97062-9712
Phone (503) 828-1150
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
- Providence Willamette Falls Medical Center
- Legacy Silverton Medical Center
- Providence Newberg Medical Center
- Salem Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 93 |
| Laminectomy or laminotomy (partial removal of spine bones) | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD192169 | OR | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Mason Depasse, MD, PC | Single Specialty | Current | Accepting new patients |
| Oregon Spine Care LLC | Single Specialty | Current | Accepting new patients |
Locations
19255 SW 65th Ave
Ste 220
Tualatin, OR 97062
Phone (503) 828-1150
19255 SW 65th Ave
Ste 200
Tualatin, OR 97062
Phone (503) 828-1150
19255 SW 65th Ave
#2000
Tualatin, OR 97062
Interoperability endpoints
- john.depasse@1621.securemail.prognocis.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Tualatin, OR
- NPI 1942182340
OR, Single Specialty
-
- Orthopaedic Surgery of the Spine Physician
- Tualatin, OR
- NPI 1376972182
OR, Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
Hospital
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1134489131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19255 SW 65TH AVE STE 200",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629712",
"telephone_number": "503-828-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19255 SW 65TH AVE STE 200",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629712",
"telephone_number": "503-828-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPASSE",
"first_name": "JOHN",
"middle_name": "MASON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-23",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "OR",
"license": "MD192169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.