Individual provider Active NPI

Bryce Radmall, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Oregon City, OR
National Provider Identifier
1285053520
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD192681 Issued in OR
Practice address
1306 Division St
Oregon City, OR 97045-1523
Phone
(503) 656-4221
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD192681 OR
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD192681 OR Primary

Addresses

Primary practice location

1306 Division St
Oregon City, OR 97045-1523

Mailing address

PO Box 22009
Portland, OR 97269-2009
Phone (503) 558-7372

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
I20190821000660 OR Practitioner - Ophthalmology 0941429468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

Practice addresses (Care Compare)

1306 Division St
Oregon City, OR 97045-1596
Phone (503) 656-4221

Hospital & facility affiliations

  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
85.23
Promoting interoperability
100
Improvement activities
40
Cost
77.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD192681ORMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Northwest, PC Ophthalmology CurrentSince Aug 19, 2019 Accepting new patients
Eye Health Northwest P.C. Ophthalmology CurrentSince Aug 19, 2019 Accepting new patients

Locations

9 Monroe Pkwy
Ste 160
Lake Oswego, OR 97035
Phone (503) 636-2551

1306 Division St
Oregon City, OR 97045
Phone (503) 656-4221

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

15298 SW Royalty Pkwy
Tigard, OR 97224
Phone (503) 620-0721

29250 SW Town Center Loop W
Wilsonville, OR 97070
Phone (503) 344-5102

Interoperability endpoints

  • Direct secure messaging: bryce.radmall@direct.ehnpc.nextgenshare.com

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 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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1285053520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972692009",
            "telephone_number": "503-558-7372",
            "fax_number": "503-344-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451523",
            "telephone_number": "503-656-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADMALL",
        "first_name": "BRYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD192681",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "MD192681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.