Individual provider Active NPI

Robert Henry Ewing Jr., MD

  • Ophthalmology Physician
  • Ashland, OR
National Provider Identifier
1548265267
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD18042 Issued in OR
Practice address
648 N Main St
Ashland, OR 97520-1710
Phone
(541) 482-8100
Fax
(541) 488-5081
NPI assigned
Jun 17, 2005
Last updated
Jun 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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 MD18042 OR Primary

Addresses

Primary practice location

648 N Main St
Ashland, OR 97520-1710

Mailing address

648 N Main St
Ashland, OR 97520-1710
Phone (541) 482-8100

Other identifiers 9

IdentifierTypeStateIssuer
4164730003OtherCACIGNA MEDICARE
0000WCPBQOtherORMEDICARE GROUP NUMBER
180036229OtherCARAILROAD MEDICARE
18836229OtherCARAILROAD MEDICARE
GR0063170MedicaidCA
004515001OtherORBLUE CROSS/BLUE SHIELD
180013711OtherORRAILROAD MEDICARE
ZZZ13445ZOtherCAMEDICARE GROUP NUMBER
053574MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080606000224 CA Practitioner - Ophthalmology 1254303191 Reassigns benefits to 1 organization
I20101019001182 OR Practitioner - Ophthalmology 1254303191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siskiyou Eye Center Medical Group IncGroup PAC ID 6103996848, 6 clinicians
Siskiyou Eye Center, Medical Group, PCGroup PAC ID 5890685911, 6 clinicians

Practice addresses (Care Compare)

2524 Westside Rd
Yreka, CA 96097-9129
Phone (530) 842-2760

648 N Main St
Ashland, OR 97520-1710
Phone (503) 482-8100

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.25

Merit-based Incentive Payment System (MIPS)

Final score
94.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Siskiyou Eye Center, Medical Group, Inc Ophthalmology CurrentSince Mar 1, 2003 Accepting new patients
Siskiyou Eye Center, Medical Group, PC Ophthalmology CurrentSince Jun 1, 1979 Accepting new patients

Locations

2524 Westside Rd
Yreka, CA 96097
Phone (530) 842-2760

648 N Main St
Ashland, OR 97520
Phone (503) 482-8100

Interoperability endpoints

  • Direct secure messaging: r.ewing@siskiyoueye.direct.eyemdemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1548265267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201710",
            "telephone_number": "541-482-8100",
            "fax_number": "541-488-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201710",
            "telephone_number": "541-482-8100",
            "fax_number": "541-488-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "ROBERT",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD18042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "4164730003",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0000WCPBQ",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180036229",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "18836229",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "004515001",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180013711",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "ZZZ13445Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053574",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.