Active NPI
Eric J Hester, M.D.
- Dermatology Physician
- Tigard, OR
National Provider Identifier
1295800860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- LL16281
- Practice address
- 10215 SW Hall Blvd
Tigard, OR 97223-8809 - Phone
- (503) 245-2415
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | LL16281 | OR | Primary |
Addresses
Primary practice location
10215 SW Hall Blvd
Tigard, OR 97223-8809
Mailing address
10215 SW Hall Blvd
Tigard, OR 97223-8809
Phone (503) 245-2415
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070705000301 | OR | Practitioner - Dermatology | 7719087741 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Colorado School of Medicine, Denver, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain West Derm - Blackhart PLLC
Practice addresses (Care Compare)
10215 SW Hall Blvd
Tigard, OR 97223-8809
Phone (503) 245-2415
Hospital & facility affiliations
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 64 |
| Removal of skin lesions | 1726 |
| Skin biopsy | 315 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL16281 | OR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Derm - Blackhart PLLC | Dermatology | Current | Accepting new patients |
| Bend Dermatology Clinic LLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm - Blackhart PLLC | Dermatology | Past | Accepting new patients |
Locations
2747 NE Conners Ave
Bend, OR 97701
Phone (541) 322-1980
10215 SW Hall Blvd
Tigard, OR 97223
Phone (503) 245-2415
Organizations & group practices 10
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.
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- NPI 1013557933
-
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- NPI 1124670088
-
- Dermatology Physician
- Georgetown, TX
- NPI 1366018848
-
- Ambulatory Surgical Clinic/Center
- Spokane Valley, WA
- NPI 1619517539
-
- MOHS-Micrographic Surgery Physician
- Reno, NV
- NPI 1740633015
-
- Dermatology Physician
- Boise, ID
- NPI 1548758501
Hospital & facility affiliations 1
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": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295800860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 SW HALL BLVD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238809",
"telephone_number": "503-245-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 SW HALL BLVD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238809",
"telephone_number": "503-245-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESTER",
"first_name": "ERIC",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "LL16281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.