Richard William Moberly II, MD
Individual provider Active NPI Family Medicine Physician · Scappoose, OR
NPI 1063632073 · NPPES record last updated Aug 10, 2016
Key facts
- NPI
- 1063632073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD177260 (OR)
- Practice address
- 51377 SW Old Portland Rd
Scappoose, OR 97056-4023 - Phone
- (503) 418-4222
- Fax
- (503) 418-4223
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 14
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Professional Services
Oregon Health and Science University
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
3930 SE Division St
Portland, OR 97202-1643
Phone (503) 418-3900
51377 SW Old Portland Rd
Scappoose, OR 97056-4023
Phone (503) 418-4222
Hospital & facility affiliations
- Ohsu Hospital and Clinics
- Hillsboro Medical Center
- Avalon Care Center - Scappoose
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Avalon Care Center - Scappoose |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2024 Jul 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160526000880 | OR | Practitioner - Family Practice | 1456402650 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Health & Science University | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Oregon Health & Science University | Current |
Accepting new patients | |
| University Professional Services | Current |
Accepting new patients | |
| Oregon Health & Science University | Current |
Accepting new patients | |
| University Professional Services | Current |
Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900
51377 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 418-4222
Interoperability endpoints
- rmoberlymd97171@direct.ohsu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD177260 | OR | Yes |
Addresses
Primary practice location
51377 SW Old Portland Rd
Scappoose, OR 97056-4023
Mailing address
51377 SW Old Portland Rd
Scappoose, OR 97056-4023
Phone (503) 418-4222
Other providers in Scappoose, OR
- Sarah Mickenna Mann
- Kathleen A. Mask
- Kathryn Maeve McGarry
- John Burtment McKnight III
- Melissa Perloff McLane
- Thomas Francis Moquin
- David Mora Egurrola
- Northside Family Counseling, Inc
- Jacob Olson
- Oregon Aero, Inc.
All providers in Scappoose, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.