Cay Michael Mierisch, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD205645 Issued in OR

Practice address

3620 NW Samaritan Dr Ste 201
Corvallis, OR 97330-3785

Phone

(541) 768-6300

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 20

Electronic endpoints 1

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

Specialty

Orthopedic Surgery

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Albany General HospitalGroup PAC ID 9931097987, 191 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
• Samaritan Lebanon Community Hospital Hospital, Lebanon, OR, CCN 381323
• Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
• Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302
• Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022

Merit-based Incentive Payment System (MIPS)

Final score

91.14 of 100Reported as group

Quality

85.78

Promoting interoperability

100

Improvement activities

40

Cost

78.31

Merit-based Incentive Payment System (MIPS)

Final score

93.65 of 100Reported as group

Quality

86.8

Promoting interoperability

100

Improvement activities

40

Cost

86.36

Merit-based Incentive Payment System (MIPS)

Final score

96.77 of 100Reported as group

Quality

88.09

Promoting interoperability

100

Improvement activities

40

Cost

84.48

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Albany General Hospital

  • General Acute Care Hospital
  • Albany, OR
  • NPI 1154372340
  Medicare reassignment Care Compare group NPD
• Good Samaritan Hospital Corvallis

  • General Acute Care Hospital
  • Corvallis, OR
  • NPI 1962453134
  Medicare reassignment Care Compare group NPD
• Mid-Valley Healthcare Inc

  • Critical Access Hospital
  • Lebanon, OR
  • NPI 1689625980
  Medicare reassignment NPD
• Samaritan North Lincoln Hospital

  • Critical Access Hospital
  • Lincoln City, OR
  • NPI 1306897491
  Medicare reassignment
• Samaritan Pacific Health Services, Inc

  • Critical Access Hospital
  • Newport, OR
  • NPI 1801847066
  Medicare reassignment
• Samaritan Pacific Health Services, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Newport, OR
  • NPI 1174888010
  Medicare reassignment
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1306679816
  NPD
• Albany General Hospital

  • Surgery Physician
  • Albany, OR
  • NPI 1467718627
  NPD
• Good Samaritan Hospital Corvallis

  • Obstetrics & Gynecology Physician
  • Corvallis, OR
  • NPI 1316212624
  NPD
• Good Samaritan Hospital Corvallis

  • Gynecologic Oncology Physician
  • Corvallis, OR
  • NPI 1710787916
  NPD
• Mid-Valley Healthcare Inc

  • Addiction Medicine (Internal Medicine) Physician
  • Newport, OR
  • NPI 1740087899
  NPD
• Mid-Valley Healthcare, Inc.

  • Rural Health Clinic/Center
  • Lebanon, OR
  • NPI 1508122763
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1013273275

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Internal Medicine Physician
  • Albany, OR
  • NPI 1104182369

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • General Acute Care Hospital
  • Albany, OR
  • NPI 1154372340
  Care Compare affiliation
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1306679816

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albany, OR
  • NPI 1326755158

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Albany, OR
  • NPI 1346620408

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Rheumatology Physician
  • Albany, OR
  • NPI 1407564354

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Surgery Physician
  • Albany, OR
  • NPI 1467718627

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Internal Medicine Physician
  • Albany, OR
  • NPI 1508130717

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1558776047

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Sleep Disorder Diagnostic Clinic/Center
  • Albany, OR
  • NPI 1700333184

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740546431

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1083688931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 NW SAMARITAN DR STE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303785",
            "telephone_number": "541-768-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2331 Franklin Rd SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141111",
            "country_code": "US",
            "telephone_number": "540-725-1226",
            "fax_number": "540-857-5306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIERISCH",
        "first_name": "CAY",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101-237955",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "VA",
            "license": "0101237955",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD205645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTOTAL",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF NORTH CAROLINA",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF WEST VIRGINIA",
            "identifier": "3810010052",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00239901",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS PLUS",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "371194700",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MEDICARE",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "540506332004",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1083688931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH PLAN",
            "identifier": "1083688931",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmierisch207663@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3620 NW Samaritan Dr Ste 201",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mid-Valley Healthcare, Inc.
• Mid-Willamette Valley Transgender Support Network
• Katharine Middendorf, PH.D.
• Angela Mierau, LCSW
• Luke Mierau, PA-C
• Jenna Mihelich
• Betsy Milam
• Delanie R Milat
• Amanda Ann Miller
• Bryan Keir Miller, PA

• Orthopaedic Surgery Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.

Verify at the official NPI Registry.