NPIMap

Individual provider Active NPI

Michael Duncan, PA

  • Physician Assistant
  • Newport, OR
National Provider Identifier
1427505015
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA175650 Issued in OR
Practice address
705 SW Coast Hwy
Newport, OR 97365-5017
Phone
(541) 574-4860
NPI assigned
Sep 1, 2016
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA175650 OR Primary

Addresses

Primary practice location

705 SW Coast Hwy
Newport, OR 97365-5017

Mailing address

PO Box 2847
Corvallis, OR 97339-2847

Other practice location 1

5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone (541) 768-4970

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)
Direct Messaging Address mduncan131006@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
I20161027000695 OR Practitioner - Physician Assistant 1355629221 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians

Practice addresses (Care Compare)

2555 NE Belvue St
Corvallis, OR 97330-4202
Phone (541) 768-2220

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

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

990 NW Circle Blvd
Corvallis, OR 97330-1967

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
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital CurrentSince Mar 28, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Oct 1, 2016 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Mar 28, 2022 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Mar 28, 2022 Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Oct 1, 2016 Accepting new patients

Locations

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

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

705 SW Coast Hwy
Newport, OR 97365
Phone (541) 574-4675

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

930 SW Abbey St
Ste F
Newport, OR 97365
Phone (541) 574-4860

Organizations & group practices 9

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 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1427505015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SW COAST HWY",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655017",
            "telephone_number": "541-574-4860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5234 SW Philomath Blvd",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973331042",
            "country_code": "US",
            "telephone_number": "541-768-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA175650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5234 SW Philomath Blvd",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973331042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mduncan131006@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "705 SW Coast Hwy",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973655017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.