NPIMap

Individual provider Active NPI

Marcus Paul Carr, M.D.

  • Diagnostic Radiology Physician
  • Tualatin, OR
National Provider Identifier
1104280205
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R76052 Issued in AZ
Practice address
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone
(503) 692-1212
NPI assigned
Apr 5, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 211525 OR
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X R76052 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220811003078 OR Practitioner - Diagnostic Radiology 7416240502 Reassigns benefits to 7 organizations
I20260311002299 WA Practitioner - Diagnostic Radiology 7416240502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 8123011392, 18 clinicians
Willamette Radiology Billing Services LLCGroup PAC ID 9335681972, 15 clinicians
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians
Grande Ronde Hospital IncGroup PAC ID 0547170789, 97 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R76052AZMDDiagnostic Radiology Physician
211525ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Jan 25, 2026 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Dec 23, 2025 Accepting new patients
Tualatin Imaging P C Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Willamette Radiology Billing Services LLC Diagnostic Radiology CurrentSince Mar 26, 2024 Accepting new patients
Alliance Healthcare Services Inc CurrentSince Apr 20, 2024 Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Jan 25, 2026 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

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

7427 SW Coho Ct
Ste 200
Tualatin, OR 97062
Phone (503) 692-5737

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104280205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7427 SW COHO CT STE 200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629749",
            "telephone_number": "503-692-5737",
            "fax_number": "503-692-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 SW 65TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627706",
            "telephone_number": "503-692-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uw Dept Of Surgery 1959 NE Pacific St",
            "address_2": "Box 356410",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981956410",
            "country_code": "US",
            "telephone_number": "303-918-7667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Banner University Medical Center 1501 N",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857246410",
            "country_code": "US",
            "telephone_number": "303-918-7667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537926410",
            "country_code": "US",
            "telephone_number": "608-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "MARCUS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "211525",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "R76052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.