Individual provider Active NPI

Gary Ryan Berger, MD

  • Ophthalmology Physician
  • McMinnville, OR
National Provider Identifier
1699812966
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD29442 Issued in OR
Practice address
235 SE Norton LN
Suite a
McMinnville, OR 97128-8479
Phone
(503) 472-4688
NPI assigned
Jan 30, 2007
Last updated
Jul 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL-2216 CO
Ophthalmology Physician 207W00000X MD29442 OR Primary

Addresses

Primary practice location

235 SE Norton LN
Suite a
McMinnville, OR 97128-8479

Mailing address

235 SE Norton LN
Suite a
McMinnville, OR 97128-8479
Phone (503) 472-4688

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091207000595 OR Practitioner - Ophthalmology 2062551872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McMinnville Eye Clinic PCGroup PAC ID 4587646955, 5 clinicians

Practice addresses (Care Compare)

2445 NE Cumulus Ave
Suite a
McMinnville, OR 97128-8862
Phone (503) 472-4688

4079 NW Logan Rd
Suite B
Lincoln City, OR 97367-5080
Phone (541) 994-7652

Merit-based Incentive Payment System (MIPS)

Final score
88.78 of 100Reported as group
Quality
100
Promoting interoperability
81
Improvement activities
40
Cost
78.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD29442ORMDOphthalmology Physician
TL-2216COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
McMinnville Eye Clinic PC Ophthalmology CurrentSince Nov 1, 2009 Accepting new patients
JHS Inc PastSince Jan 1, 2012 Accepting new patients
JHS Inc PastSince Jan 2, 2022 Accepting new patients

Locations

4079 NW Logan Rd
Ste B
Lincoln City, OR 97367
Phone (541) 994-7652

235 SE Norton Ln
Ste A
McMinnville, OR 97128
Phone (503) 472-3842

2445 NE Cumulus Ave
#A
McMinnville, OR 97128
Phone (503) 472-3842

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ryan.berger@direct.mcminnvilleeyeclinic.nextgenshare.com

Organizations & group practices 3

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1699812966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SE NORTON LN",
            "address_2": "SUITE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288479",
            "telephone_number": "503-472-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SE NORTON LN",
            "address_2": "SUITE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288479",
            "telephone_number": "503-472-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "GARY",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL-2216",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD29442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.