Active NPI
Matthew Ryan Tommack, D.O.
- Diagnostic Radiology Physician
- Eugene, OR
National Provider Identifier
1063645570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5101018452
- Practice address
- 600 Country Club Rd
Eugene, OR 97401-2240 - Phone
- (541) 242-4162
- Fax
- (541) 345-2358
- NPI assigned
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5101018452 | OR | Primary |
Addresses
Primary practice location
600 Country Club Rd
Eugene, OR 97401-2240
Mailing address
PO Box 1648
Eugene, OR 97440-1648
Phone (541) 242-4384
Other practice location 1
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (208) 283-1949
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101018452 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Healthcare Resources, LLC | Current | Accepting new patients |
Locations
600 Country Club Rd
Eugene, OR 97401
Phone (541) 242-4172
2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694
Interoperability endpoints
- mtommack42184@westdirect.optum.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1063645570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1648",
"city": "EUGENE",
"state": "OR",
"postal_code": "974401648",
"telephone_number": "541-242-4384",
"fax_number": "541-463-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 COUNTRY CLUB RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012240",
"telephone_number": "541-242-4162",
"fax_number": "541-345-2358"
}
],
"practiceLocations": [
{
"address_1": "28050 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483365919",
"country_code": "US",
"telephone_number": "208-283-1949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMMACK",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "5101018452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.