Active NPI
Patricia B Gates, OD
- Optometrist
- Coos Bay, OR
National Provider Identifier
1255317665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1992ATI
- Practice address
- 986 Central Ave
Coos Bay, OR 97420-1736 - Phone
- (541) 267-4224
- Fax
- (541) 269-7357
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1992ATI | OR | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 1992ATI | OR | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1992ATI | OR | |
| Occupational Vision Optometrist | 152WX0102X | 1992ATI | OR | |
| Pediatric Optometrist | 152WP0200X | 1992ATI | OR | |
| Sports Vision Optometrist | 152WS0006X | 1992ATI | OR | |
| Vision Therapy Optometrist | 152WV0400X | 1992ATI | OR |
Addresses
Primary practice location
986 Central Ave
Coos Bay, OR 97420-1736
Mailing address
PO Box 329
Coos Bay, OR 97420-0034
Phone (541) 267-4224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015359 | Medicaid | OR |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
986 Central Ave
Coos Bay, OR 97420-1736
Phone (541) 267-4224
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.49 of 100
- Quality
- 78.97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coos Bay Vision Center, Inc | Optometrist | Current | Accepting new patients |
Locations
986 Central Ave
Coos Bay, OR 97420
Phone (541) 267-4224
Interoperability endpoints
- patricia.gates@direct.revolutionehr.com
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 and National Provider Directory roles.
-
- Optometrist
- Coos Bay, OR
- NPI 1851573323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1255317665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 329",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974200034",
"telephone_number": "541-267-4224",
"fax_number": "541-269-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "986 CENTRAL AVE",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974201736",
"telephone_number": "541-267-4224",
"fax_number": "541-269-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "PATRICIA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "1992ATI",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OR",
"license": "1992ATI",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "OR",
"license": "1992ATI",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "OR",
"license": "1992ATI",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "OR",
"license": "1992ATI",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "OR",
"license": "1992ATI",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OR",
"license": "1992ATI",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015359",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.