Individual provider Active NPI

Patricia B Gates, OD

  • Optometrist
  • Coos Bay, OR
National Provider Identifier
1255317665
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1992ATI Issued in OR
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

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
015359MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000867 OR Practitioner - Optometry 7315082468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coos Bay Vision Center, IncGroup PAC ID 6608848874, 2 clinicians

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 100Reported as individual
Quality
78.97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coos Bay Vision Center, Inc Optometrist CurrentSince May 22, 1988 Accepting new patients

Locations

986 Central Ave
Coos Bay, OR 97420
Phone (541) 267-4224

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.