Chandler McKay Boyd, PA-C
Individual provider Active NPI Physician Assistant · Salem, OR
NPI 1184346348 · NPPES record last updated Sep 14, 2022
Key facts
- NPI
- 1184346348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA213288 (OR)
- Practice address
- 875 Oak St SE Ste C3010
Salem, OR 97301-3975 - Phone
- (503) 399-7520
- NPI assigned
- Sep 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salem Gastroenterology Consultants PC
Practice addresses (Care Compare)
875 Oak St SE
Suite 3010
Salem, OR 97301-3978
Phone (503) 399-7520
Hospital & facility affiliations
- Salem Hospital
- Salem Health West Valley
- Santiam Hospital & Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.48 of 100
- Quality
- 48.4
- Improvement activities
- 0
- Cost
- 74.73
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221122002412 | OR | Practitioner - Physician Assistant | 9234507294 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clark Medical Group LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA213288 | OR | Yes |
Addresses
Primary practice location
875 Oak St SE Ste C3010
Salem, OR 97301-3975
Mailing address
875 Oak St SE Ste C3010
Salem, OR 97301-3975
Phone (503) 399-7520
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 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.