Individual provider Active NPI

Samuel Jeffrey Carpentier, MD, PHD

  • Ophthalmology Physician
  • Newberg, OR
National Provider Identifier
1194344010
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD219195 Issued in OR
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

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701003949 OR Practitioner - Ophthalmology 9537581137 Reassigns benefits to 1 organization

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
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

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 Hospital, Portland, OR, CCN 380004

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
85.23
Promoting interoperability
100
Improvement activities
40
Cost
77.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD219195ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Northwest P.C. Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Eye Health Northwest, PC Ophthalmology CurrentSince Aug 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.