Individual provider Active NPI

Gregory D Fillmore, DC

  • Chiropractor
  • Milwaukie, OR
National Provider Identifier
1376104505
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6007 Issued in OR
Practice address
13152 SE Rusk Rd
Milwaukie, OR 97222-2171
Phone
(503) 919-7001
Fax
(503) 919-7344
NPI assigned
Jun 27, 2019
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6007 OR Primary

Addresses

Primary practice location

13152 SE Rusk Rd
Milwaukie, OR 97222-2171

Mailing address

13152 SE Rusk Rd
Milwaukie, OR 97222-2171
Phone (503) 919-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213004027 OR Practitioner - Chiropractic 3870942998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivot Health IncGroup PAC ID 3870984875, 5 clinicians

Practice addresses (Care Compare)

13152 SE Rusk Rd
Milwaukie, OR 97222-2171
Phone (503) 919-7001

233 E Historic Columbia River Hwy
Troutdale, OR 97060-2078
Phone (503) 491-9266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6007ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Health Inc Chiropractor CurrentSince Oct 31, 2023 Accepting new patients
Premier Care Wellness Company Chiropractor PastSince Mar 19, 2023 Accepting new patients
Pivot Health Inc Past Accepting new patients
Premier Care Chiropractic, LLC Chiropractor PastSince Apr 1, 2020 Accepting new patients

Locations

1404 Molalla Ave
Oregon City, OR 97045
Phone (503) 723-4462

13152 SE Rusk Rd
Portland, OR 97222
Phone (503) 919-7001

233 E Historic Columbia River Hwy
Troutdale, OR 97060
Phone (503) 287-6701

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1376104505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13152 SE RUSK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222171",
            "telephone_number": "503-919-7001",
            "fax_number": "503-919-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13152 SE RUSK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222171",
            "telephone_number": "503-919-7001",
            "fax_number": "503-919-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.