Individual provider Active NPI

Stephan G Thiede, MD

  • Diagnostic Radiology Physician
  • Eugene, OR
National Provider Identifier
1346277399
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD25991 Issued in OR
Practice address
1200 Hilyard St
Eugene, OR 97401-8122
Phone
(541) 687-7134
Fax
(541) 687-7135
NPI assigned
Jun 26, 2006
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60183001 WA
Diagnostic Radiology Physician 2085R0202X MD25991 OR Primary

Addresses

Primary practice location

1200 Hilyard St
Eugene, OR 97401-8122

Mailing address

445 Harlow Rd Ste 200
Springfield, OR 97477-1341
Phone (541) 302-7771

Other practice location 1

910 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-0200

Other practice location 2

700 Lincoln St Ste 100
Kelso, WA 98626-1062
Phone (360) 425-5131

Other identifiers 4

IdentifierTypeStateIssuer
269934MedicaidOR
8427338MedicaidWA
MD4882RMedicaidAK
MD9882RMedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050624000706 OR Practitioner - Diagnostic Radiology 2062494438 Reassigns benefits to 9 organizations
I20240709001882 WA Practitioner - Diagnostic Radiology 2062494438 Reassigns benefits to 1 organization
I20240807003069 ID Practitioner - Diagnostic Radiology 2062494438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Medical Imaging PLLCGroup PAC ID 1951711050, 23 clinicians
Oregon Imaging Centers LLCGroup PAC ID 7416859749, 27 clinicians
Radiology Associates PCGroup PAC ID 2567364847, 25 clinicians
PeacehealthGroup PAC ID 5092624296, 22 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Suite 330
Eugene, OR 97401-8110
Phone (775) 283-3130

1255 Hilyard St
Eugene, OR 97401-3718
Phone (541) 686-7300

3377 Riverbend Dr
Suite 150
Springfield, OR 97477-8805
Phone (541) 736-3340

512 Pole Line Rd
Suite 1
Twin Falls, ID 83301-6367
Phone (208) 735-5555

700 Lincoln St
Suite 100
Kelso, WA 98626-1062
Phone (360) 425-5131

940 E 5TH St
Coquille, OR 97423-1666
Phone (541) 396-3101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.45 of 100Reported as group
Quality
92.91
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60183001WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Imaging Centers, L.L.C. Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Coquille Valley Hospital District CurrentSince Apr 26, 2023 Accepting new patients
Bay Area Hospital District CurrentSince Aug 4, 2021 Accepting new patients
Bay Area Hospital District CurrentSince Aug 4, 2021 Accepting new patients
Peacehealth CurrentSince Jul 1, 2024 Accepting new patients
Peacehealth Medical Group CurrentSince Sep 1, 2005 Accepting new patients
Radiology Associates PC Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Coquille Valley Hospital District CurrentSince Apr 26, 2023 Accepting new patients
Renew, LLC CurrentSince Jun 1, 2022 Accepting new patients
Peacehealth CurrentSince Jul 1, 2024 Accepting new patients
Mid Rogue Imaging Center CurrentSince Jun 1, 2024 Accepting new patients
Radiology Associates Coastal Region LLC Diagnostic Radiology Current Accepting new patients
Innovative Medical Imaging, PLLC Diagnostic Radiology CurrentSince Oct 2, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth Past Accepting new patients
Pacific Northwest Radiology LLC Diagnostic Radiology Past Accepting new patients
University Radiology Associates Diagnostic Radiology PastSince Feb 1, 1997 Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

512 Pole Line Rd
Ste 1
Twin Falls, ID 83301
Phone (208) 735-5555

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

10 Coburg Rd
#220
Eugene, OR 97401
Phone (541) 681-8586

1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070

1200 Hilyard St
Ste 330
Eugene, OR 97401
Phone (541) 302-7771

1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

400 9th St
Florence, OR 97439
Phone (541) 997-8412

3377 Riverbend Dr
Ste 150
Springfield, OR 97477
Phone (541) 222-6000

445 Harlow Rd
Ste 200
Springfield, OR 97477
Phone (541) 302-7771

910 S Scheuber Rd
Centralia, WA 98531
Phone (360) 736-0200

700 Lincoln St
Ste 100
Kelso, WA 98626
Phone (360) 425-5131

5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/
  • Direct secure messaging: sthiede@yourcarecommunity.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1346277399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HARLOW RD STE 200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771341",
            "telephone_number": "541-302-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018122",
            "telephone_number": "541-687-7134",
            "fax_number": "541-687-7135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 S Scheuber Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319027",
            "country_code": "US",
            "telephone_number": "360-736-0200",
            "fax_number": "360-736-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Lincoln St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kelso",
            "state": "WA",
            "postal_code": "986261062",
            "country_code": "US",
            "telephone_number": "360-425-5131",
            "fax_number": "360-425-5509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIEDE",
        "first_name": "STEPHAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60183001",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD25991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269934",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8427338",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD4882R",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9882R",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.