Individual provider Active NPI

Courtney Rae Virgilio, M.D.

  • Cardiovascular Disease Physician
  • Hermiston, OR
National Provider Identifier
1285753160
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD179426 Issued in OR
Practice address
620 NW 11TH St Ste M201
Hermiston, OR 97838-6941
Phone
(541) 667-3771
Fax
(541) 303-8457
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD179426 OR Primary

Addresses

Primary practice location

620 NW 11TH St Ste M201
Hermiston, OR 97838-6941

Mailing address

620 NW 11TH St Ste M201
Hermiston, OR 97838-6941
Phone (541) 667-3771

Other identifiers 1

IdentifierTypeStateIssuer
MD179426OtherOROREGON LICENSE

Other names 1

  • Dr. Courtney Rae Tsourmas Former name

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
I20161018002878 OR Practitioner - Cardiovascular Disease (Cardiology) 5890840086 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Loyola University of Chicago, Stritch School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians

Practice addresses (Care Compare)

600 NW 11TH St
Suite E37
Hermiston, OR 97838-8604
Phone (541) 667-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
91.95

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group Inc. Cardiovascular Disease CurrentSince Sep 1, 2018 Accepting new patients
Bend Memorial Clinic PC CurrentSince Nov 1, 2016 Accepting new patients
Good Shepherd Health Care System CurrentSince Aug 1, 2024 Accepting new patients
Bend Memorial Clinic PC Family Medicine CurrentSince Nov 1, 2016 Accepting new patients
Centennial Medical Group Inc. Cardiovascular Disease PastSince Sep 27, 2020 Accepting new patients
Good Shepherd Health Care System Past Accepting new patients

Locations

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

600 NW 11th St
Ste E23
Hermiston, OR 97838
Phone (541) 289-1231

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

620 NW 11th St
Ste M201
Hermiston, OR 97838

201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2801 NW Mercy Dr
Ste 300
Roseburg, OR 97471
Phone (541) 677-1555

2801 NW Mercy Dr
Ste 340
Roseburg, OR 97471
Phone (541) 677-2494

Interoperability endpoints

  • Direct secure messaging: cvirgilio1505540@direct.lhs.org

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.

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1285753160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M201",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-667-3771",
            "fax_number": "541-303-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M201",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-667-3771",
            "fax_number": "541-303-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGILIO",
        "first_name": "COURTNEY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD179426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSE",
            "identifier": "MD179426",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "TSOURMAS",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.