Individual provider Active NPI

Gina Vaccaro, M.D.

  • Medical Oncology Physician
  • Cookeville, TN
National Provider Identifier
1700960671
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD28681 Issued in OR
Practice address
315 N Washington Ave Ste 230
Cookeville, TN 38501-2660
Phone
(931) 400-0995
Fax
(931) 284-4714
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2004-00613 NC
Medical Oncology Physician 207RX0202X MD28681 OR Primary

Addresses

Primary practice location

315 N Washington Ave Ste 230
Cookeville, TN 38501-2660

Mailing address

PO Box 440100
Nashville, TN 37244-0100
Phone (615) 329-0570

Other practice location 1

1589 Sparta St Ste 203
McMinnville, TN 37110-1332
Phone (931) 815-0032

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address gvaccaro991065@oc.providencedirect.org
Direct Messaging Address gvaccaro991065@oc.providencedirect.org
Direct Messaging Address gvaccaro991065@oc.providencedirect.org
Direct Messaging Address gvaccaro991065@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TN2 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
I20081003000164 OR Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 5799755179 Reassigns benefits to 2 organizations
I20240321000814 TN Practitioner - Hematology/Oncology 5799755179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

315 N Washington Ave
Suite 230
Cookeville, TN 38501-2660
Phone (931) 400-0995

Hospital & facility affiliations

  • Adoration Home Health Nashville South Home health agency, Cookeville, TN, CCN 447425
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
  • Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151

Merit-based Incentive Payment System (MIPS)

Final score
67.45 of 100Reported as group
Quality
12.33
Promoting interoperability
100
Improvement activities
40
Cost
79.19

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-00613NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 1, 2020 Accepting new patients
Tennessee Oncology PLLC Hematology & Oncology CurrentSince Feb 7, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 1, 2020 Accepting new patients

Locations

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

9135 SW Barnes Rd
Ste 261
Portland, OR 97225
Phone (503) 215-8650

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

315 N Washington Ave
Ste 230
Cookeville, TN 38501
Phone (931) 400-0995

103 Physicians Way
Ste 120
Lebanon, TN 37090
Phone (615) 453-5623

1589 Sparta St
Ste 203
McMinnville, TN 37110
Phone (931) 668-4585

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 5

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 4

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1700960671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100",
            "telephone_number": "615-329-0570",
            "fax_number": "615-329-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE STE 230",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012660",
            "telephone_number": "931-400-0995",
            "fax_number": "931-284-4714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1589 Sparta St Ste 203",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371101332",
            "country_code": "US",
            "telephone_number": "931-815-0032",
            "fax_number": "915-550-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "GINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2004-00613",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "MD28681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gvaccaro991065@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9280 SE Sunnybrook Blvd Ste 200",
            "city": "Clackamas",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970159353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gvaccaro991065@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1500 Division St",
            "city": "Oregon City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970451527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gvaccaro991065@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9135 SW Barnes Rd Ste 261",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gvaccaro991065@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1003 N Providence Dr Ste 310",
            "city": "Newberg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971327524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.