Individual provider Active NPI

Gregory Allen Richard, MD

  • Ophthalmology Physician
  • Corvallis, OR
National Provider Identifier
1295013613
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD186395 Issued in OR
Practice address
444 NW Elks Dr
Corvallis, OR 97330
Phone
(541) 754-1150
NPI assigned
Aug 2, 2011
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.207614 LA
Ophthalmology Physician 207W00000X T-2480 MS
Ophthalmology Physician 207W00000X MD186395 OR Primary

Addresses

Primary practice location

444 NW Elks Dr
Corvallis, OR 97330

Mailing address

444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1271

Other practice location 1

2435 NW Kline St
Roseburg, OR 97471-1687
Phone (541) 919-6405

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
I20180627001766 OR Practitioner - Ophthalmology 6901124882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

100 Mullins Dr
Suite B3
Lebanon, OR 97355-2868
Phone (541) 451-5808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.37 of 100Reported as group
Quality
68.21
Improvement activities
40
Cost
76.96

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-2480MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates PC Ophthalmology CurrentSince Aug 1, 2021 Accepting new patients
Bridgeport Eye Physicians, LLC Ophthalmology CurrentSince Aug 1, 2021 Accepting new patients
BSM Surgery Center LLC Past Accepting new patients

Locations

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

227 NW 3rd St
Corvallis, OR 97330
Phone (541) 757-1120

100 Mullins Dr
Ste B3
Lebanon, OR 97355
Phone (541) 451-5808

700 N Deborah Rd
Ste 150
Newberg, OR 97132
Phone (503) 538-6791

1810 Summer St NE
Salem, OR 97301
Phone (503) 364-0767

20015 SW Pacific Hwy
Ste 150
Sherwood, OR 97140
Phone (503) 610-1025

Interoperability endpoints

  • Direct secure messaging: gregoryrichardmd@richardeyecenter.direct.eyemdemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1295013613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303745",
            "telephone_number": "541-754-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-754-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 NW Kline St",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974711687",
            "country_code": "US",
            "telephone_number": "541-919-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.207614",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "T-2480",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD186395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.