Active NPI
Samuel Jeffrey Carpentier, MD, PHD
- Ophthalmology Physician
- Newberg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD219195
- Practice address
- 2318 E Portland Rd Ste 300
Newberg, OR 97132-1374 - Phone
- (503) 538-1341
- Fax
- (503) 538-1343
- NPI assigned
- Apr 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD219195 | OR | Primary |
Addresses
Primary practice location
2318 E Portland Rd Ste 300
Newberg, OR 97132-1374
Mailing address
PO Box 22009
Portland, OR 97269-2009
Phone (503) 558-7372
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Colorado School of Medicine, Aurora, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2318 E Portland Rd
Suite 300
Newberg, OR 97132-1374
Phone (503) 538-1341
Hospital & facility affiliations
- Providence St Vincent Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.25
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 84 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD219195 | OR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Health Northwest P.C. | Ophthalmology | Current | Accepting new patients |
| Eye Health Northwest, PC | Ophthalmology | Current | Accepting new patients |
Locations
18345 SW Alexander St
Ste A
Beaverton, OR 97003
Phone (503) 642-2505
9 Monroe Pkwy
Ste 160
Lake Oswego, OR 97035
Phone (503) 636-2551
2318 E Portland Rd
Ste 300
Newberg, OR 97132
Phone (503) 538-0411
9135 SW Barnes Rd
Ste 961
Portland, OR 97225
Phone (503) 292-0848
11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020
Interoperability endpoints
- samuel.carpentier@direct.ehnpc.nextgenshare.com
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Milwaukie, OR
- NPI 1619959731
-
- Ophthalmology Physician
- Portland, OR
- NPI 1992397426
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1194344010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22009",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972692009",
"telephone_number": "503-558-7372",
"fax_number": "503-344-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 E PORTLAND RD STE 300",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321374",
"telephone_number": "503-538-1341",
"fax_number": "503-538-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTIER",
"first_name": "SAMUEL",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-10",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OR",
"license": "MD219195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.