Individual provider Active NPI

Jeffrey Scott Palmgren, MD

  • Urology Physician
  • Albany, OR
National Provider Identifier
1487766929
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD156143 Issued in OR
Practice address
400 Hickory Street NW
Suite 200
Albany, OR 97321-1700
Phone
(541) 812-5800
Fax
(541) 812-5802
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD156143 OR Primary

Addresses

Primary practice location

400 Hickory Street NW
Suite 200
Albany, OR 97321-1700

Mailing address

400 Hickory Street NW
Suite 200
Albany, OR 97321-1700
Phone (541) 812-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20200722002396 HI Practitioner - Urology 0042259392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of South Alabama College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alii Health CenterGroup PAC ID 4486984549, 50 clinicians

Practice addresses (Care Compare)

78 -6831 Alii Dr
Suite 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321

Hospital & facility affiliations

  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019
  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD156143ORMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alii Health Center CurrentSince Apr 17, 2020 Accepting new patients
Ali'I Health Center CurrentSince Apr 17, 2020 Accepting new patients
Alii Community Care, Inc Current Accepting new patients
Alii Health Center Urology PastSince Feb 14, 2021 Accepting new patients

Locations

78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725

78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321

78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321

Interoperability endpoints

  • Direct secure messaging: jeffrey.palmgren@hawaiihie.medicity.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1487766929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HICKORY STREET NW",
            "address_2": "SUITE 200",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211700",
            "telephone_number": "541-812-5800",
            "fax_number": "541-812-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HICKORY STREET NW",
            "address_2": "SUITE 200",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211700",
            "telephone_number": "541-812-5800",
            "fax_number": "541-812-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMGREN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD156143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.