Patrick J Gregg, MD
Individual provider Active NPI Ophthalmology Physician · Roseburg, OR
NPI 1346224201 · NPPES record last updated Sep 7, 2010
Key facts
- NPI
- 1346224201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- MD24348 (OR)
- Practice address
- 341 Medical Loop
Suite 120
Roseburg, OR 97471-5540 - Phone
- (541) 672-4470
- Fax
- (541) 672-0665
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Drexel University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
160 NW 2ND Ave
Canby, OR 97013-3729
Phone (503) 263-3937
Hospital & facility affiliations
- Providence Milwaukie Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.5 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 51.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 55 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100114000066 | OR | Practitioner - Ophthalmology | 7517008451 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24348 | OR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick J Gregg MD PC | Ophthalmology | Current |
Accepting new patients |
| Optical Shop Equipment Inc | Ophthalmology | Past |
Accepting new patients |
| Canby Physical Therapy and Sports Medicine, LLC | Past |
Accepting new patients | |
| Centennial Medical Group Inc. | Past | Accepting new patients |
Locations
160 NW 2nd Ave
Canby, OR 97013
Phone (503) 263-3937
530 1st St
Ste A
Lake Oswego, OR 97034
Phone (503) 636-9608
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD24348 | OR | Yes |
Addresses
Primary practice location
341 Medical Loop
Suite 120
Roseburg, OR 97471-5540
Mailing address
PO Box 1700
Roseburg, OR 97470-0414
Phone (541) 677-6111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226927 | Medicaid | OR |
Other providers in Roseburg, OR
- Stacey Elizabeth Gray
- Ernest Greaves
- April M Green
- Robert C Green
- Michael E Gregg
- Gregory C Walther Optometrist PC
- Julie Lalena Griess
- Samantha Birenbaum Griffin
- Ryann Grindstaff
- Lee Ann Grogan
All providers in Roseburg, OR · Ophthalmology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.