Individual provider Active NPI

Matthew Grant McCaskill, D.O.

  • Neurology Physician
  • Portland, OR
National Provider Identifier
1033347349
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO168057 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Oregon Health & Science University, CR 120
Portland, OR 97239-3011
Phone
(503) 494-5753
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X LL1267 SC
Psychiatry Physician 2084P0800X LL1267 SC
Neurology Physician 2084N0400X DO168057 OR Primary
Clinical Neurophysiology Physician 2084N0600X DO168057 OR

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Oregon Health & Science University, CR 120
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Oregon Health & Science University, CR 120
Portland, OR 97239-3011
Phone (503) 494-5753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150508002170 OR Practitioner - Neurology 1254559388 Reassigns benefits to 8 organizations
I20160108001332 WA Practitioner - Neurology 1254559388

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of North Texas HSC, College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians
Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians

Practice addresses (Care Compare)

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

2650 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 269-8282

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Hillsboro Medical Center Hospital, Hillsboro, OR, CCN 380021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL1267SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities CurrentSince Oct 4, 2022 Accepting new patients
Bay Area Hospital District CurrentSince May 11, 2021 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St. Charles Health System, Inc. CurrentSince Apr 1, 2019 Accepting new patients
St. Charles Health System, Inc. Current Accepting new patients
University Professional Services CurrentSince Jul 1, 2015 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
University Professional Services CurrentSince Jul 1, 2015 Accepting new patients
Bay Area Hospital District CurrentSince May 11, 2021 Accepting new patients
St. Charles Health System, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Oregon Health & Science University Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
University Professional Services Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

29358 Network Pl
Chicago, IL 60673

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

364 SE 8th Ave
Ste 101
Hillsboro, OR 97123
Phone (503) 681-0816

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3181 SW Sam Jackson Park Rd
#120
Portland, OR 97239
Phone (503) 494-5682

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

Interoperability endpoints

  • Direct secure messaging: mmccaskill90398@secure.stcharleshealthcare.org
  • Direct secure messaging: mmccaskilldo86404@direct.ohsu.edu

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1033347349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "OREGON HEALTH & SCIENCE UNIVERSITY, CR 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "OREGON HEALTH & SCIENCE UNIVERSITY, CR 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASKILL",
        "first_name": "MATTHEW",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "LL1267",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL1267",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO168057",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OR",
            "license": "DO168057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.