Individual provider Active NPI

Geoffrey Lee Thomas, DO

  • Family Medicine Physician
  • Boardman, OR
National Provider Identifier
1194901785
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO152951 Issued in OR
Practice address
450 Tatone St
Boardman, OR 97818-8076
Phone
(541) 481-7212
Fax
(541) 481-2020
NPI assigned
Jan 14, 2008
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO152951 OR Primary

Addresses

Primary practice location

450 Tatone St
Boardman, OR 97818-8076

Mailing address

PO Box 397
Boardman, OR 97818-0397
Phone (541) 481-7212

Other identifiers 2

IdentifierTypeStateIssuer
DO152951OtherOROREGON MEDICAL LICENSE
500639459MedicaidOR

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
I20141015000288 OR Practitioner - Family Practice 2567536352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia River HealthGroup PAC ID 8527026087, 7 clinicians

Practice addresses (Care Compare)

450 Tatone St
Boardman, OR 97818-8076
Phone (541) 481-7212

Hospital & facility affiliations

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
DO152951ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia River Health CurrentSince Nov 19, 2018 Accepting new patients

Locations

450 Tatone St
Boardman, OR 97818
Phone (541) 481-7212

Organizations & group practices 1

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 3

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1194901785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978180397",
            "telephone_number": "541-481-7212",
            "fax_number": "541-481-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 TATONE ST",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978188076",
            "telephone_number": "541-481-7212",
            "fax_number": "541-481-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GEOFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO152951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL LICENSE",
            "identifier": "DO152951",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500639459",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OR

Sources for this page

Verify at the official NPI Registry.