Individual provider Active NPI

Justin Thomas Lloyd Baynham, MD

  • Ophthalmology Physician
  • Salem, OR
National Provider Identifier
1750516928
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD161869 Issued in OR
Practice address
2450 12TH St SE
Salem, OR 97302
Phone
(503) 371-4350
Fax
(503) 371-1124
NPI assigned
May 18, 2009
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD161869 OR Primary

Addresses

Primary practice location

2450 12TH St SE
Salem, OR 97302

Mailing address

2450 12TH St SE
Salem, OR 97302-2152
Phone (503) 371-4350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address justin.baynham.retcon@direct.wvp.nextgenshare.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000813 OR Practitioner - Ophthalmology 2668610858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Virginia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants LLPGroup PAC ID 0941271886, 4 clinicians

Practice addresses (Care Compare)

2450 12TH St SE
Salem, OR 97302-2152
Phone (503) 371-4350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as group
Quality
91.79
Promoting interoperability
87
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants, LLP Ophthalmology CurrentSince Apr 15, 2015 Accepting new patients
Teplick Laser Surgery Centers PastSince Apr 15, 2015 Accepting new patients

Locations

2815 Willetta St SW
Ste A2
Albany, OR 97321
Phone (503) 371-4350

996 NW Circle Blvd
Ste 101
Corvallis, OR 97330
Phone (541) 757-0878

3100 E Haworth Ave
Ste 280
Newberg, OR 97132
Phone (503) 371-4350

2450 12th St SE
Salem, OR 97302
Phone (503) 363-9286

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1750516928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022152",
            "telephone_number": "503-371-4350",
            "fax_number": "503-371-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-371-4350",
            "fax_number": "503-371-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNHAM",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS LLOYD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD161869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.baynham.retcon@direct.wvp.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2450 12th St SE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.