Active NPI
Jonathan Young, MD
- Glaucoma Specialist (Ophthalmology) Physician
- Tigard, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- MD193169
- Practice address
- 7000 SW Redwood LN
Tigard, OR 97224-7134 - Phone
- (503) 210-9150
- Fax
- (503) 210-1895
- NPI assigned
- Jun 17, 2014
- Last updated
- Apr 10, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | A155530 | CA | |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | MD193169 | OR | Primary |
Addresses
Primary practice location
7000 SW Redwood LN
Tigard, OR 97224-7134
Mailing address
75 Enterprise Ste 200
Aliso Viejo, CA 92656-2626
Phone (949) 688-6205
Other practice location 1
100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5000
Other practice location 2
100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5000
Other practice location 3
100 Stein Plz
Los Angeles, CA 90095-3010
Phone (310) 825-3090
Other practice location 4
200 Stein Plaza 1-340
Los Angeles, CA 90095-0001
Phone (310) 825-3090
Other practice location 5
5686 Commercial St SE
Salem, OR 97306-1200
Phone (971) 377-2703
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7000 SW Redwood LN
Tigard, OR 97224-7134
Phone (503) 210-9150
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.82 of 100
- Quality
- 64.08
- Improvement activities
- 40
- Cost
- 80.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155530 | CA | MD | Glaucoma Specialist (Ophthalmology) Physician |
| MD193169 | OR | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Associates PC | Current | Accepting new patients | |
| Bridgeport Eye Physicians, LLC | Current | Accepting new patients | |
| Nvision Operative Management LLC | Current | Accepting new patients | |
| Retina Care and Research | Past | Accepting new patients |
Locations
2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848
227 NW 3rd St
Corvallis, OR 97330
Phone (541) 757-1120
5686 Commercial St SE
Salem, OR 97306
Phone (971) 377-2703
20015 SW Pacific Hwy
Ste 150
Sherwood, OR 97140
Phone (503) 610-1025
7000 SW Redwood Ln
Tigard, OR 97224
Phone (503) 210-9150
Interoperability endpoints
- dr.young@oregon-eye-physicians.direct.kno2fy.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Sherwood, OR
- NPI 1215135066
-
- Ophthalmology Physician
- Albany, OR
- NPI 1013964113
-
- Ambulatory Surgical Clinic/Center
- Tigard, OR
- NPI 1669239786
-
- Retina Specialist (Ophthalmology) Physician
- Eugene, OR
- NPI 1790431286
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1720492820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 ENTERPRISE STE 200",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926562626",
"telephone_number": "949-688-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SW REDWOOD LN",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247134",
"telephone_number": "503-210-9150",
"fax_number": "503-210-1895"
}
],
"practiceLocations": [
{
"address_1": "100 W California Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911053010",
"country_code": "US",
"telephone_number": "626-397-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 W California Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911053010",
"country_code": "US",
"telephone_number": "626-397-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Stein Plz",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900953010",
"country_code": "US",
"telephone_number": "310-825-3090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Stein Plaza 1-340",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900950001",
"country_code": "US",
"telephone_number": "310-825-3090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5686 Commercial St SE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973061200",
"country_code": "US",
"telephone_number": "971-377-2703",
"fax_number": "971-301-2696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "CA",
"license": "A155530",
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "OR",
"license": "MD193169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.