Doctor profile · Federal record
Dr. Derick du Vivier, MD
Anesthesiology Physician (CMS: Anesthesiology) · Portland, OR
- NPI 1235167024
- Accepts Medicare
- MIPS 80.7 / 100 · 2023
- 28 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3181 Sw Jackson Park RD.
Portland, OR 972393011
(503) 494-7641 - Mailing address
-
3181 Sw Sam Jackson Park RD, Mail Code Sjh-2
Portland, OR 972393011
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- September 13, 2016
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- Oregon #24146
- Medicaid
- OR #286645
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235167024. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$3,750
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Scientific Affairs, LLC | 1 | $3,750.00 |
By nature of payment
Frequently asked questions
What is Dr. Derick du Vivier's medical specialty?
Dr. Derick du Vivier practices Anesthesiology Physician in Portland, OR.
Where does Dr. Derick du Vivier practice?
Dr. Derick du Vivier practices at 3181 Sw Jackson Park RD., Portland, OR 972393011. Office phone: 5034947641.
What is Dr. Derick du Vivier's NPI?
Dr. Derick du Vivier's National Provider Identifier (NPI) is 1235167024, issued by NPPES.
Does Dr. Derick du Vivier accept Medicare assignment?
Yes. Dr. Derick du Vivier accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.