Individual provider Active NPI

Mark Fredrick Schray, M.D.

  • Radiation Oncology Physician
  • Portland, OR
National Provider Identifier
1063400752
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD16370 Issued in OR
Practice address
1015 NW 22ND Ave
LL50
Portland, OR 97210-3025
Phone
(503) 413-7135
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD16370 OR Primary
Therapeutic Radiology Physician 2085R0203X MD16370 OR

Addresses

Primary practice location

1015 NW 22ND Ave
LL50
Portland, OR 97210-3025

Mailing address

1400 NW Irving St
527
Portland, OR 97209-2256
Phone (503) 222-1299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 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
I20080317000126 WA Practitioner - Radiation Oncology 6608807516 Reassigns benefits to 2 organizations
I20080603000549 OR Practitioner - Radiation Oncology 6608807516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711

1015 Nw22Nd Ave
Suite 34
Portland, OR 97210-3025
Phone (503) 413-6376

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 413-8988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
71.23
Promoting interoperability
88
Improvement activities
40
Cost
81.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16370ORMDSpecialist
MD16370ORMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Sep 1, 2016 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 1, 2014 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 1, 2014 Accepting new patients
The Vancouver Clinic Inc PS Past Accepting new patients
Legacy Mount Hood Medical Center Past Accepting new patients
Radiation Oncologists PC Radiation Oncology Past Accepting new patients

Locations

2801 N Gantenbein Ave
Ste 223
Portland, OR 97227

1130 NW 22nd Ave
Ste LL50
Portland, OR 97210
Phone (503) 413-7135

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1015 NW 22nd Ave
#50
Portland, OR 97210
Phone (503) 413-7135

450 N Graham St
Portland, OR 97227
Phone (503) 413-4161

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Networks

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

Interoperability endpoints

  • Direct secure messaging: mschray2874@direct.lhs.org

Organizations & group practices 7

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 4

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196467200000",
    "number": "1063400752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW IRVING ST",
            "address_2": "527",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092256",
            "telephone_number": "503-222-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "address_2": "LL50",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAY",
        "first_name": "MARK",
        "middle_name": "FREDRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "MD16370",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "OR",
            "license": "MD16370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.