Individual provider Active NPI

Alex Christian Bauer, DO

  • Surgery Physician
  • Springfield, OR
National Provider Identifier
1255826434
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO216066 Issued in OR
Practice address
960 N 16TH St Ste 200
Springfield, OR 97477-4175
Phone
(541) 345-2205
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Physician Services LLC 48 clinicians

Practice addresses (Care Compare)

960 N 16TH St
Suite 304
Springfield, OR 97477-4175
Phone (541) 744-6172

Hospital & facility affiliations

  • McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
75.94
Promoting interoperability
100
Improvement activities
40
Cost
83.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12

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
I20230815000692 OR Practitioner - General Surgery 9234485152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO216066ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Physician Services LLC CurrentSince Sep 1, 2023 Accepting new patients
McKenzie-Willamette Regional Medical Center Associates LLC Past Accepting new patients

Locations

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

960 N 16th St
Ste 200
Springfield, OR 97477
Phone (541) 228-3330

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

Interoperability endpoints

  • Direct secure messaging: abauer01@yourcarecommunity.org
  • Direct secure messaging: abauer495187@direct.hfhs.org
  • Direct secure messaging: alex.bauer.1@1804.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DO216066 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

960 N 16TH St Ste 200
Springfield, OR 97477-4175

Mailing address

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-7182

Other practice location 1

205 N East Ave
Jackson, MI 49201
Phone (517) 285-4266

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2023.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1255826434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-205-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 N 16TH ST STE 200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774175",
            "telephone_number": "541-345-2205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "49201",
            "country_code": "US",
            "telephone_number": "517-285-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ALEX",
        "middle_name": "CHRISTIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-07-19",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "DO216066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.