Individual provider Active NPI

Gerald Andrew Jaworski, M.D.

  • Family Medicine Physician
  • Roseburg, OR
National Provider Identifier
1043272099
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17702 Issued in OR
Practice address
2282 NW Troost St
Ste. 101
Roseburg, OR 97471-6071
Phone
(541) 673-0609
Fax
(541) 440-9387
NPI assigned
Apr 5, 2006
Last updated
Jul 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17702 OR Primary

Addresses

Primary practice location

2282 NW Troost St
Ste. 101
Roseburg, OR 97471-6071

Mailing address

2282 NW Troost St
Ste 101
Roseburg, OR 97471-6072
Phone (541) 673-0609

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
I20080828000027 OR Practitioner - Family Practice 3779659735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2282 NW Troost St
Suite 101
Roseburg, OR 97471-6072
Phone (541) 673-0609

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as individual
Quality
76.67
Improvement activities
40
Cost
88.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17702ORMDSpeech-Language Pathologist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCFBCA/Endpoint/BCFBCA

Organizations & group practices 1

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 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1043272099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST",
            "address_2": "STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716072",
            "telephone_number": "541-673-0609",
            "fax_number": "541-440-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST",
            "address_2": "STE. 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716071",
            "telephone_number": "541-673-0609",
            "fax_number": "541-440-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "GERALD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "17702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.