Active NPI
Toshio Nagamoto, M.D.
- Surgery Physician
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD19283
- Practice address
- 3615 NW Samaritan Dr
Suite 201
Corvallis, OR 97330-3783 - Phone
- (541) 768-5930
- NPI assigned
- Jun 16, 2006
- Last updated
- Nov 6, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD19283 | OR | Primary |
Addresses
Primary practice location
3615 NW Samaritan Dr
Suite 201
Corvallis, OR 97330-3783
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tnagamoto6605@samhealth.direct-ci.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Creighton University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
911 NW 18TH Ave
Portland, OR 97209-2324
Phone (855) 830-8346
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.76 of 100
- Quality
- 88.93
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 69.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inovia LLC | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Firstcare Medical Foundation | Surgery | Past | Accepting new patients |
Locations
1700 NW 167th Pl
Ste 245
Beaverton, OR 97006
Phone (503) 447-4125
2200 NE Neff Rd
Ste 204
Bend, OR 97701
Phone (541) 382-8346
911 NW 18th Ave
Portland, OR 97209
Phone (503) 227-3666
9200 SE 91st Ave
Ste 200
Portland, OR 97086
Phone (503) 233-5548
7421 SW Bridgeport Rd
Ste 215
Tigard, OR 97224
Phone (503) 620-2400
Interoperability endpoints
- toshio.nagamoto@ivsc.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Vascular Surgery Physician
- Bend, OR
- NPI 1376753442
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bend, OR
- NPI 1154270445
-
dba Samaritan Medical Clinics
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
Surgery
-
dba Samaritan Orthopedics-Luis Vela, DO
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1396789681",
"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": "3615 NW SAMARITAN DR",
"address_2": "SUITE 201",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303783",
"telephone_number": "541-768-5930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGAMOTO",
"first_name": "TOSHIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD19283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tnagamoto6605@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3615 NW Samaritan Dr",
"address_2": "Suite 201",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303783",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.