Active NPI
John Gilbert Buckmaster, MD
- Obstetrics & Gynecology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD12764
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-4200
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD12764 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
2070 Ridge Pointe Dr
Lake Oswego, OR 97034-7572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289702 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Oregon Health Sciences University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
2101 NE 139TH St
Suite 260
Vancouver, WA 98686-2311
Phone (360) 487-2870
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487
300 N Graham
100 Maternal Fetal Med
Portland, OR 97227-1667
Phone (503) 413-1122
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.83 of 100
- Quality
- 96.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12764 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Good Shepherd Health Care System | Current | Accepting new patients |
Locations
600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305
620 NW 11th St
Ste M106
Hermiston, OR 97838
Phone (541) 667-3801
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
300 N Graham St
Ste 100
Portland, OR 97227
Phone (503) 413-1122
2222 NW Lovejoy St
Ste 601
Portland, OR 97210
Phone (503) 413-5514
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
2101 NE 139th St
Ste 260
Vancouver, WA 98686
Phone (360) 487-2870
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Interoperability endpoints
- jbuckmaster1897@direct.lhs.org
Organizations & group practices 5
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Obstetrics & Gynecology
-
dba Good Shepherd Medical Center
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
dba Good Shepherd Medical Group
- Pediatrics Physician
- Hermiston, OR
- NPI 1336198159
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013922525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 RIDGE POINTE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970347572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKMASTER",
"first_name": "JOHN",
"middle_name": "GILBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD12764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "289702",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.