Individual provider Active NPI

Justin Matthew Spaulding, D.O.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Medford, OR
National Provider Identifier
1013259167
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
DO186862 Issued in OR
Practice address
1408 E Barnett Rd
Medford, OR 97504-8279
Phone
(541) 779-2020
Fax
(541) 770-6838
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DO186862 OR
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 6124 OK
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X DO186862 OR Primary

Addresses

Primary practice location

1408 E Barnett Rd
Medford, OR 97504-8279

Mailing address

1408 E Barnett Rd
Medford, OR 97504-8279
Phone (541) 779-2020

Other identifiers 1

IdentifierTypeStateIssuer
500743468MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JSpaulding@medfordeyedoctors.updoxdirect.com Health Information Exchange (HIE)

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
I20180809000669 OR Practitioner - Ophthalmology 8224260211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cataract and Laser Institute of Southern Oregon PCGroup PAC ID 7517952344, 5 clinicians

Practice addresses (Care Compare)

1408 E Barnett Rd
Medford, OR 97504-8279
Phone (541) 779-2020

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
97.66
Improvement activities
40
Cost
79.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery755

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6124OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgery Center CurrentSince Sep 1, 2018 Accepting new patients
Cataract and Laser Institute of Southern Oregon PC Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients

Locations

586 5th St
Ste 300
Brookings, OR 97415
Phone (541) 469-7775

1408 E Barnett Rd
Medford, OR 97504
Phone (503) 779-2464

Interoperability endpoints

  • Direct secure messaging: jspaulding@medfordeyedoctors.updoxdirect.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.

Hospital & facility affiliations 4

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1013259167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048279",
            "telephone_number": "541-779-2020",
            "fax_number": "541-770-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048279",
            "telephone_number": "541-779-2020",
            "fax_number": "541-770-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "DO186862",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "OK",
            "license": "6124",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "OR",
            "license": "DO186862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500743468",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JSpaulding@medfordeyedoctors.updoxdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "1408 E Barnett Rd",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975048279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.