NPIMap

Individual provider Active NPI

Richard B Halbur, PAC

  • Medical Physician Assistant
  • Brownsville, OR
National Provider Identifier
1023013620
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA165019 Issued in OR
Practice address
157 Spaulding Ave
Brownsville, OR 97327-0160
Phone
(541) 451-6940
NPI assigned
Jun 20, 2005
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA165019 OR Primary

Addresses

Primary practice location

157 Spaulding Ave
Brownsville, OR 97327-0160

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

100 Mullins Dr Ste C2
Lebanon, OR 97355-2868
Phone (541) 451-6413

Other practice location 2

191 N Main St
Lebanon, OR 97355-2870
Phone (541) 451-7940

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhalbur100972@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114000489 OR Practitioner - Physician Assistant 8022064534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians

Practice addresses (Care Compare)

191 N Main St
Lebanon, OR 97355-2870
Phone (541) 451-7940

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

425 N Santiam Hwy
Lebanon, OR 97355-4361

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
180WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare Inc CurrentSince Oct 7, 2013 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Oct 7, 2013 Accepting new patients
Gundersen Clinic LTD Past Accepting new patients

Locations

157 Spaulding Ave
Brownsville, OR 97327
Phone (541) 451-6940

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

100 Mullins Dr
Ste C2
Lebanon, OR 97355
Phone (541) 451-6388

191 N Main St
Lebanon, OR 97355
Phone (541) 451-7802

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: rhalbur100972@samhealth.direct-ci.com

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.

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1023013620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 SPAULDING AVE",
            "city": "BROWNSVILLE",
            "state": "OR",
            "postal_code": "973270160",
            "telephone_number": "541-451-6940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Mullins Dr Ste C2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552868",
            "country_code": "US",
            "telephone_number": "541-451-6413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552870",
            "country_code": "US",
            "telephone_number": "541-451-7940",
            "fax_number": "541-451-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALBUR",
        "first_name": "RICHARD",
        "middle_name": "B",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA165019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhalbur100972@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "157 Spaulding Ave",
            "city": "Brownsville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973270160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsville, OR

Sources for this page

Verify at the official NPI Registry.