Individual provider Active NPI

Brian L Puskas, MD

  • Orthopaedic Surgery Physician
  • Tigard, OR
National Provider Identifier
1053586016
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD153962 Issued in OR
Practice address
15755 SW Sequoia Pkwy Ste 200
Tigard, OR 97224-7166
Phone
(503) 639-6002
Fax
(503) 639-1403
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME107071 FL
Orthopaedic Surgery Physician 207X00000X MD153962 OR Primary

Addresses

Primary practice location

15755 SW Sequoia Pkwy Ste 200
Tigard, OR 97224-7166

Mailing address

15755 SW Sequoia Pkwy Ste 200
Tigard, OR 97224-7166
Phone (503) 639-6002

Other identifiers 5

IdentifierTypeStateIssuer
148H4OtherFLBC/BS
337264OtherFLAVMED
002191300MedicaidFL
9049527OtherFLAETNA
700859OtherFLCIGNA

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
I20111018000395 OR Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3173648771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Pennsylvania State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians
Regenerative Orthopedic Center LLCGroup PAC ID 0749640597, 27 clinicians

Practice addresses (Care Compare)

1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (503) 982-2174

15755 SW Sequoia Pkwy
Suite 200
Tigard, OR 97224-7166
Phone (503) 639-6002

342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660

Hospital & facility affiliations

  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Legacy Silverton Medical Center Hospital, Silverton, OR, CCN 380029
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)28
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD153962ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Nov 14, 2017 Accepting new patients
Regenerative Orthopedic Center LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Regenerative Orthopedic Center LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

1508 Division St
Ste 105
Oregon City, OR 97045
Phone (503) 656-0836

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

15755 SW Sequoia Pkwy
Ste 200
Tigard, OR 97224
Phone (503) 639-6002

7401 SW Washo Ct
Ste 100
Tualatin, OR 97062
Phone (503) 656-0836

6485 SW Borland Rd
Ste A
Tualatin, OR 97062
Phone (503) 665-0836

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: bpuskas@orthonw.directmessaging.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1053586016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15755 SW SEQUOIA PKWY STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247166",
            "telephone_number": "503-639-6002",
            "fax_number": "503-639-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15755 SW SEQUOIA PKWY STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247166",
            "telephone_number": "503-639-6002",
            "fax_number": "503-639-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSKAS",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME107071",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD153962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "148H4",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "337264",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002191300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9049527",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "700859",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.