David M Collins, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01149 Issued in OR

Practice address

450 Tatone Street
Boardman, OR 97818

Phone

(541) 481-7212

Fax

(541) 481-2020

NPI assigned

Dec 11, 2006

Last updated

May 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul D. Reicherter, MD, PCGroup PAC ID 4082687298, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Merit-based Incentive Payment System (MIPS)

Final score

83.23 of 100Reported as group

Quality

67.9

Promoting interoperability

100

Improvement activities

40

Cost

76.21

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1c1bd3d4-4a26-4d40-b6ea-57e1e5c43016/
• FHIR API: https://fhir-usa.unify.chbase.com/org/piohosp-eec6c5e3

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.

• Paul D. Reicherter, MD, PC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Roseburg, OR
  • NPI 1407055437
  Medicare reassignment Care Compare group
• Morrow County Health District

  dba Pioneer Memorial Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Heppner, OR
  • NPI 1770514481
  Medicare reassignment
• Morrow County Health District

  dba Pioneer Memorial Hospital

  • Critical Access Hospital
  • Heppner, OR
  • NPI 1376572099
  NPD
• Morrow County Health District

  dba Ione Community Clinic

  • Rural Health Clinic/Center
  • Ione, OR
  • NPI 1477945517
  NPD

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

• Commonspirit Oregon

  dba CHI Mercy Medical Center

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198
  Care Compare affiliation

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1548320302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "97818",
            "telephone_number": "541-481-7212",
            "fax_number": "541-481-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 TATONE STREET",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "97818",
            "telephone_number": "541-481-7212",
            "fax_number": "541-481-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227616",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra Colin Carrillo, LPC
• Da'Janee Monique Challis
• Jessica R Chavez
• Diana Chopin
• Neal Cole
• Columbacare Services (Columbia River Ranch)
• Columbia River Health
• Columbia River Health (Columbia River Pharmacy)
• Columbia River Pharmacy
• Community Counseling Solutions Dba Star

• Medical Physician Assistant in Boardman, OR
• Providers in Boardman, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.