Adrian Anthony, MD
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Gresham, OR
NPI 1376084632 · NPPES record last updated Dec 27, 2022
Key facts
- NPI
- 1376084632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- MD209904 (OR)
- Practice address
- 689 NW Burnside Rd
Gresham, OR 97030-3739 - Phone
- (503) 382-8100
- NPI assigned
- Mar 19, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Medical College of Wisconsin, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Pain and Spine Institute
Practice addresses (Care Compare)
689 NW Burnside Rd
Gresham, OR 97030-3739
Phone (503) 382-8100
Hospital & facility affiliations
- Legacy Mount Hood Medical Center
- Adventist Health Portland
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20221003002636 | OR | Practitioner - Pain Management |
5395018055 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Pain and Spine Institute | Current |
Accepting new patients | |
| Burnside Surgery Center LLC | Past | Accepting new patients |
Locations
689 NW Burnside Rd
Gresham, OR 97030
Phone (503) 382-8100
Interoperability endpoints
- aanthony159404@direct.ohsu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD209904 | OR | Yes |
Addresses
Primary practice location
689 NW Burnside Rd
Gresham, OR 97030-3739
Mailing address
689 NW Burnside Rd
Gresham, OR 97030-3739
Phone (503) 382-8100
Other providers in Gresham, OR
- Angela M. Caiazza, PC
- Aaron Annis
- Bethy Mae Annsa
- Antara Acupuncture and Herbal Clinic LLC
- Josey Rae Anthony-Moore
- Claudia Anukam
- Anywhere Speech & Language LLC
- Gabriela Aranda
- Holly Aranda
- Catherine Elizabeth Christine Archibald
All providers in Gresham, OR · Pain Medicine (Anesthesiology) 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 Dec 27, 2022. 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.