Active NPI
Chad Jacob Palmer, MS,AT. RET, PA-C
- Physician Assistant
- Silverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA179415
- Practice address
- 452 Welch St
Silverton, OR 97381-1934 - Phone
- (503) 874-2454
- NPI assigned
- Jan 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51311 | CA | |
| Physician Assistant | 363A00000X | PA179415 | OR | Primary |
Addresses
Primary practice location
452 Welch St
Silverton, OR 97381-1934
Mailing address
PO Box 3417
Portland, OR 97208-3417
Other practice location 1
475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-1267
Other practice location 2
1411 E McAndrews Rd
Medford, OR 97504-6107
Phone (541) 773-1435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500715171 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 Fairview St
Silverton, OR 97381-1916
Phone (503) 874-5640
342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660
347 Fairview St
Silverton, OR 97381-1916
Phone (503) 873-5667
406 Welch St
Silverton, OR 97381-1934
Phone (503) 873-8853
452 Welch St
Silverton, OR 97381-1934
Phone (503) 873-8740
454 Welch St
Silverton, OR 97381-1934
Phone (503) 873-1540
5685 Inland Shores Way N
Keizer, OR 97303-3794
Phone (503) 779-2271
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- Quality
- 88.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51311 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Siskiyou Hospital, Inc. | Current | Accepting new patients | |
| Silverton Health | Past | Accepting new patients |
Locations
475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507
444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256
5685 Inland Shores Way N
Keizer, OR 97303
Phone (503) 779-2271
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
452 Welch St
Silverton, OR 97381
Phone (503) 873-1722
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
- Interventional Pain Medicine Physician
- Medford, OR
- NPI 1629331293
-
- Clinic/Center
- Silverton, OR
- NPI 1407396799
-
- Clinic/Center
- Molalla, OR
- NPI 1861116055
-
- Rural Health Clinic/Center
- Woodburn, OR
- NPI 1679686463
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1265619464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3417",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 WELCH ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "973811934",
"telephone_number": "503-874-2454"
}
],
"practiceLocations": [
{
"address_1": "475 Bruce St",
"address_purpose": "LOCATION",
"city": "Yreka",
"state": "CA",
"postal_code": "960973474",
"country_code": "US",
"telephone_number": "530-842-1267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1411 E McAndrews Rd",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975046107",
"country_code": "US",
"telephone_number": "541-773-1435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "CHAD",
"middle_name": "JACOB",
"name_prefix": "Mr.",
"credential": "MS,AT. RET, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-30",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51311",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA179415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500715171",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.