NPIMap

Individual provider Active NPI

David Lawrence Federoff, PA

  • Physician Assistant
  • Brownsville, OR
National Provider Identifier
1356812291
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA195905 Issued in OR
Practice address
157 Spaulding Ave
Brownsville, OR 97327
Phone
(541) 451-6940
NPI assigned
Dec 17, 2018
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA195905 OR Primary
Medical Physician Assistant 363AM0700X 56220 CA
Medical Physician Assistant 363AM0700X PA195905 OR

Addresses

Primary practice location

157 Spaulding Ave
Brownsville, OR 97327

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

9041 Magnolia Ave Ste 107
Riverside, CA 92503-3942
Phone (951) 353-1021

Other practice location 2

35 Mullins Dr Ste 2
Lebanon, OR 97355-3985
Phone (541) 451-7915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dfederoff188386@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200310002840 OR Practitioner - Physician Assistant 0345678116 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians

Practice addresses (Care Compare)

157 Spaulding Ave
Brownsville, OR 97327-2267
Phone (541) 451-6940

400 Hickory St NW
Albany, OR 97321-1700

400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388

534 Pleasant View Way NW
Albany, OR 97321-1700

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56220CAMDPharmacist
PA195905ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital CurrentSince Feb 1, 2020 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Apr 30, 2020 Accepting new patients
Albany General Hospital CurrentSince Feb 1, 2020 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Feb 1, 2020 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Feb 1, 2020 Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Apr 30, 2020 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Feb 1, 2020 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

157 Spaulding Ave
Brownsville, OR 97327
Phone (541) 451-6940

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

35 Mullins Dr
Ste 2
Lebanon, OR 97355
Phone (541) 451-7915

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Interoperability endpoints

  • Direct secure messaging: dfederoff188386@samhealth.direct-ci.com

Organizations & group practices 11

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1356812291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 SPAULDING AVE",
            "city": "BROWNSVILLE",
            "state": "OR",
            "postal_code": "97327",
            "telephone_number": "541-451-6940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9041 Magnolia Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033942",
            "country_code": "US",
            "telephone_number": "951-353-1021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Mullins Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973553985",
            "country_code": "US",
            "telephone_number": "541-451-7915",
            "fax_number": "541-451-7973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDEROFF",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA195905",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "56220",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA195905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfederoff188386@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "157 Spaulding Ave",
            "city": "Brownsville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsville, OR

Sources for this page

Verify at the official NPI Registry.