NPIMap

Individual provider Active NPI

Margaret Karon Federoff, PA-C

  • Physician Assistant
  • Corvallis, OR
National Provider Identifier
1710406442
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA196071 Issued in OR
Practice address
3517 NW Samaritan Dr Ste 100
Corvallis, OR 97330-3768
Phone
(541) 768-4280
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA196071 OR Primary

Addresses

Primary practice location

3517 NW Samaritan Dr Ste 100
Corvallis, OR 97330-3768

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mfederoff@samhealth.org
Direct Messaging Address mfederoff188469@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330003744 OR Practitioner - Physician Assistant 9739445347 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

3517 NW Samaritan Dr
Corvallis, OR 97330-3768

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

Hospital & facility affiliations

  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
84.81
Promoting interoperability
100
Improvement activities
40
Cost
75.71

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA196071ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC Current Accepting new patients
The Corvallis Clinic P C CurrentSince Oct 30, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Feb 1, 2020 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Feb 1, 2020 Accepting new patients
Icco, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3517 NW Samaritan Dr
Ste 100
Corvallis, OR 97330
Phone (541) 768-4280

3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

Interoperability endpoints

  • Direct secure messaging: margaret.federoff.1@14349.direct.athenahealth.com
  • Direct secure messaging: mfederoff188469@samhealth.direct-ci.com

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1710406442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 NW SAMARITAN DR STE 100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303768",
            "telephone_number": "541-768-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDEROFF",
        "first_name": "MARGARET",
        "middle_name": "KARON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA196071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfederoff@samhealth.org",
            "affiliation": "N",
            "endpointDescription": "Samaritan Work Email",
            "address_1": "3517 NW Samaritan Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfederoff188469@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3517 NW Samaritan Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.