Marcus Paul Carr, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Tualatin, OR
NPI 1104280205 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1104280205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- R76052 (AZ)
- Practice address
- 19300 SW 65TH Ave
Tualatin, OR 97062-7706 - Phone
- (503) 692-1212
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tualatin Imaging PC
Willamette Radiology Billing Services LLC
Privia Medical Group Washington PLLC
Good Shepherd Health Care System
Grande Ronde Hospital Inc
Practice addresses (Care Compare)
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-7447
2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-6322
55 W Tietan St
Walla Walla, WA 99362-4445
Phone 50952537201405
610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400
7427 SW Coho CT
Suite 200
Tualatin, OR 97062-8618
Phone (503) 413-7800
900 Sunset Dr
La Grande, OR 97850-1362
900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
- Willamette Valley Medical Center
- Good Shepherd Medical Center
- Grande Ronde Hospital
- Providence St Vincent Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.82 of 100
- Quality
- 64.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 47.05
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220811003078 | OR | Practitioner - Diagnostic Radiology | 7416240502 | Reassigns benefits to 7 organizations |
| I20260311002299 | WA | Practitioner - Diagnostic Radiology | 7416240502 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R76052 | AZ | MD | Diagnostic Radiology Physician |
| 211525 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Ronde Hospital, Inc. | Current |
Accepting new patients | |
| Willamette Radiology Billing Services LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Privia Medical Group Washington, PLLC | Current |
Accepting new patients | |
| Tualatin Imaging P C | Diagnostic Radiology | Current |
Accepting new patients |
| Walla Walla Clinic, Inc. | Current |
Accepting new patients | |
| Good Shepherd Health Care System | Current |
Accepting new patients | |
| Alliance Healthcare Services Inc | Current |
Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current |
Accepting new patients |
Locations
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200
7427 SW Coho Ct
Ste 200
Tualatin, OR 97062
Phone (503) 692-5737
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
Interoperability endpoints
- https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 211525 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | R76052 | AZ | Yes |
Addresses
Primary practice location
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Mailing address
7427 SW Coho CT Ste 200
Tualatin, OR 97062-9749
Phone (503) 692-5737
Other practice location 1
Uw Dept Of Surgery 1959 NE Pacific St
Box 356410
Seattle, WA 98195-6410
Phone (303) 918-7667
Other practice location 2
Banner University Medical Center 1501 N
Tucson, AZ 85724-6410
Phone (303) 918-7667
Other practice location 3
600 Highland Ave
Madison, WI 53792-6410
Phone (608) 263-6400
Other providers in Tualatin, OR
- Ruth Carey
- Amber Carini
- Bonnie Oldham Carlson
- David Allen Carr
- Julia M Carr
- Patricia Ann Carroll
- Cascade Occupational Medicine Physicians Inc
- Cascade Orthopaedic Group, P.C.
- Cascade Physicians, P.C.
- Cascade Spine Center, LLC
All providers in Tualatin, OR · Diagnostic Radiology 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 Jul 21, 2022. 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.
- 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.