Grecori Anderson, MD
Individual provider Active NPI Urology Physician · Astoria, OR
NPI 1114213469 · NPPES record last updated Feb 10, 2022
Key facts
- NPI
- 1114213469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- MD187484 (OR)
- Practice address
- 2265 Exchange St
Astoria, OR 97103-3331 - Phone
- (503) 338-4075
- Fax
- (503) 338-4076
- NPI assigned
- Jun 24, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Lutheran Charities
Practice addresses (Care Compare)
2265 Exchange St
Astoria, OR 97103-3331
Phone (503) 338-4060
Hospital & facility affiliations
- Columbia Memorial Hospital
- Ocean Beach Hospital
- Willapa Harbor Hospital
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 62.39
- 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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190307003373 | OR | Practitioner - Urology | 9739318049 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD187484 | OR | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Lutheran Charities | Urology | Current |
Accepting new patients |
| Columbia Lutheran Charities | Current |
Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
2265 Exchange St
Fl Third
Astoria, OR 97103
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
2265 Exchange St
Astoria, OR 97103
Phone (503) 338-4075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD187484 | OR | Yes |
Addresses
Primary practice location
2265 Exchange St
Astoria, OR 97103-3331
Mailing address
2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321
Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 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.