NPIMap

Individual provider Active NPI

Herschel D Wallen, M.D.

  • Medical Oncology Physician
  • Corvallis, OR
National Provider Identifier
1710924451
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD153740 Issued in OR
Practice address
441 NW Elks Dr Ste 100
Corvallis, OR 97330-3744
Phone
(541) 768-4950
NPI assigned
Jun 1, 2006
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD153740 OR Primary
Medical Oncology Physician 207RX0202X MD00040124 WA

Addresses

Primary practice location

441 NW Elks Dr Ste 100
Corvallis, OR 97330-3744

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other identifiers 3

IdentifierTypeStateIssuer
8883097OtherWAMEDICARE - KITSAP CO
500631243MedicaidOR
8455354MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hwallen185715@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
I20110207000900 OR Practitioner - Medical Oncology 3870505647 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Michigan Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians
Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

1086 7TH Ave SW
Albany, OR 97321-1997

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

441 NW Elks Dr
Corvallis, OR 97330-3744

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

875 Oak St SE
Suite 4030
Salem, OR 97301-3984
Phone (503) 561-6444

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00040124WAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Oncology Specialists, LLP CurrentSince Aug 19, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Oct 28, 2019 Accepting new patients
Oregon Oncology Specialists, LLP Medical Oncology CurrentSince Aug 19, 2024 Accepting new patients
Albany General Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Dec 1, 2020 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Albany General Hospital CurrentSince Oct 28, 2019 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Dec 1, 2020 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Oct 28, 2019 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jan 1, 2020 Accepting new patients
Albany General Hospital CurrentSince Oct 28, 2019 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Dec 1, 2020 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Nov 1, 2020 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Dec 1, 2020 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

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

441 NW Elks Dr
Ste 100
Corvallis, OR 97330
Phone (541) 768-4950

444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256

501 NW Elks Dr
Ste 100
Corvallis, OR 97330
Phone (541) 768-4950

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

875 Oak St SE
Ste 4030
Salem, OR 97301
Phone (503) 561-6492

Interoperability endpoints

  • Direct secure messaging: hwallen185715@samhealth.direct-ci.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1710924451",
    "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": "441 NW ELKS DR STE 100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303744",
            "telephone_number": "541-768-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEN",
        "first_name": "HERSCHEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "MD153740",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD00040124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - KITSAP CO",
            "identifier": "8883097",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500631243",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8455354",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwallen185715@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "441 NW Elks Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.