Individual provider Active NPI

Andrew C Westfall, MD

  • Ophthalmology Physician
  • Salem, OR
National Provider Identifier
1003989781
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
NB26000 Issued in OR
Practice address
2450 12TH Street SE
Salem, OR 97302
Phone
(503) 371-4350
Fax
(503) 371-1124
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NB26000 OR Primary

Addresses

Primary practice location

2450 12TH Street SE
Salem, OR 97302

Mailing address

2450 12TH Street SE
Salem, OR 97302
Phone (503) 371-4350

Other identifiers 2

IdentifierTypeStateIssuer
048239003OtherOREGON BLUE CROSS
213738MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.westfall.retcon@direct.wvp.nextgenshare.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801001092 OR Practitioner - OphthalmologyPractitioner - Other (Physician) 4688602535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants LLPGroup PAC ID 0941271886, 4 clinicians

Practice addresses (Care Compare)

2450 12TH St SE
Salem, OR 97302-2152
Phone (503) 371-4350

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as group
Quality
91.79
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NB26000ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants, LLP Ophthalmology CurrentSince Aug 1, 2005 Accepting new patients
Teplick Laser Surgery Centers PastSince Aug 1, 2005 Accepting new patients

Locations

2815 Willetta St SW
Ste A2
Albany, OR 97321
Phone (503) 371-4350

996 NW Circle Blvd
Ste 101
Corvallis, OR 97330
Phone (541) 757-0878

3100 E Haworth Ave
Ste 280
Newberg, OR 97132
Phone (503) 371-4350

2450 12th St SE
Salem, OR 97302
Phone (503) 363-9286

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: andrew.westfall.retcon@direct.wvp.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1003989781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 12TH STREET SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-371-4350",
            "fax_number": "503-371-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 12TH STREET SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-371-4350",
            "fax_number": "503-371-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTFALL",
        "first_name": "ANDREW",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "NB26000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BLUE CROSS",
            "identifier": "048239003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213738",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.westfall.retcon@direct.wvp.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2450 12th Street SE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.