NPIMap

Individual provider Active NPI

Roy Allen Laberge, MD

  • Family Medicine Physician
  • White Salmon, WA
National Provider Identifier
1487646881
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00033033 Issued in WA
Practice address
212 Skyline Dr
White Salmon, WA 98672-0212
Phone
(509) 493-2133
Fax
(509) 493-9538
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00033033 WA Primary
Family Medicine Physician 207Q00000X MD20890 OR

Addresses

Primary practice location

212 Skyline Dr
White Salmon, WA 98672-0212

Mailing address

PO Box 1519
White Salmon, WA 98672-1519
Phone (509) 493-2133

Other identifiers 2

IdentifierTypeStateIssuer
080090215OtherWAPTAN
8194995MedicaidWA

Other names 1

  • Dr. R Allen Laberge Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100204000018 WA Practitioner - Family Practice 5698832400 Reassigns benefits to 2 organizations
I20231030002217 OR Practitioner - Family Practice 5698832400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Community HealthGroup PAC ID 6305759283, shared by 7 NPIs, 51 clinicians

Practice addresses (Care Compare)

65371 Hwy 14
White Salmon, WA 98672-8690
Phone (509) 493-2133

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20890ORMDFamily Medicine Physician
MD00033033WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health Current Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Nov 1, 1996 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince Nov 1, 1996 Accepting new patients
One Community Health CurrentSince Oct 17, 2023 Accepting new patients
One Community Health CurrentSince Feb 5, 2024 Accepting new patients
One Community Health CurrentSince Oct 17, 2023 Accepting new patients

Locations

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

875 SW Rock Creek Dr
Stevenson, WA 98648
Phone (509) 427-4212

212 NE Skyline Dr
White Salmon, WA 98672
Phone (509) 493-2133

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1487646881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1519",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721519",
            "telephone_number": "509-493-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SKYLINE DR",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720212",
            "telephone_number": "509-493-2133",
            "fax_number": "509-493-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABERGE",
        "first_name": "ROY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00033033",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD20890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "080090215",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8194995",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "LABERGE",
            "middle_name": "ALLEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in White Salmon, WA

Sources for this page

Verify at the official NPI Registry.