Individual provider Active NPI

Samuel Chase Werner, M.D.

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1467866038
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD187351 Issued in OR
Practice address
3375 SW Terwilliger Blvd
Portland, OR 97239
Phone
(503) 494-3000
Fax
(503) 494-4286
NPI assigned
Jun 11, 2014
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD187351 OR Primary

Addresses

Primary practice location

3375 SW Terwilliger Blvd
Portland, OR 97239

Mailing address

3375 SW Terwilliger Blvd
Portland, OR 97239-4146
Phone (503) 494-3000

Other practice location 1

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461

Other practice location 2

3375 SW Terwilliger Blvd
Portland, OR 97239-4146
Phone (503) 494-2698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190828000418 TX Practitioner - Ophthalmology 4587929773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

3801 University Lake Dr
Anchorage, AK 99508-4658
Phone (907) 563-2662

6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201

P O Box
Dillingham, AK 99576-0130

PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Dec 14, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Mar 6, 2020 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Aug 5, 2019 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Dec 14, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
South East Alaska Regional Health Consortium CurrentSince Mar 6, 2020 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients

Locations

3801 University Lake Dr
Anchorage, AK 99508
Phone (907) 563-8876

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

Interoperability endpoints

  • Direct secure messaging: scwerner@direct.anthc.org

Organizations & group practices 24

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 24

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1467866038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 SW TERWILLIGER BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394146",
            "telephone_number": "503-494-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 SW TERWILLIGER BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-494-3000",
            "fax_number": "503-494-4286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-327-5461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3375 SW Terwilliger Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394146",
            "country_code": "US",
            "telephone_number": "503-494-2698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNER",
        "first_name": "SAMUEL",
        "middle_name": "CHASE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD187351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.