Active NPI
Michael John Paisley, M.D.
- Surgery Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD210481
- Practice address
- 9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612 - Phone
- (503) 216-8670
- NPI assigned
- Jul 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD210481 | OR | Primary |
Addresses
Primary practice location
9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
400 West Pueblo Street
Santa Barbara, CA 93105
Phone (805) 569-7316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Minnesota Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 E Cypress St
Suite C1
Santa Maria, CA 93454-4734
Phone 8054568890127
2621 De la Vina St
Santa Barbara, CA 93105-3823
Phone 8054568890127
Hospital & facility affiliations
- Central Coast Home Health Inc
- Santa Barbara Cottage Hospital
- Goleta Valley Cottage Hospital
- Marian Regional Medical Center
- Santa Ynez Valley Cottage Hospital
- Lompoc Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 47 |
| Leg revascularization (restoring blood flow) | 69 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD210481 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Kevin M Casey MD Apmc | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Santa Barbara Cottage Hospital | Past | Accepting new patients | |
| Sansum Clinic | Past | Accepting new patients |
Locations
2051 Solar Dr
Ste 150
Oxnard, CA 93036
Phone (805) 456-8890
2621 De la Vina St
Santa Barbara, CA 93105
Phone (805) 456-8890
1919 State St
Ste 204
Santa Barbara, CA 93101
Phone (805) 456-8890
1300 E Cypress St
Ste C1
Santa Maria, CA 93454
Phone (805) 456-8890
1893 Knoll Dr
Ventura, CA 93003
1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
9427 SW Barnes Rd
Ste 495
Portland, OR 97225
Phone (503) 216-0900
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mpaisley2511076@oc.providencedirect.org
Organizations & group practices 7
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.
-
- Vascular Surgery Physician
- Oxnard, CA
- NPI 1528600558
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- Clinical Pathology Physician
- Newberg, OR
- NPI 1174074868
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1649296807
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1225038136
-
- General Acute Care Hospital
- Lompoc, CA
- NPI 1194711952
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
- General Acute Care Hospital
- Solvang, CA
- NPI 1952301863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1700260288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9427 SW BARNES RD STE 495",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256612",
"telephone_number": "503-216-8670"
}
],
"practiceLocations": [
{
"address_1": "400 West Pueblo Street",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "93105",
"country_code": "US",
"telephone_number": "805-569-7316",
"fax_number": "805-569-7317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAISLEY",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-15",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD210481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.