Individual provider Active NPI

Henry Andrew Irvine, M.D.

  • Diagnostic Radiology Physician
  • Bend, OR
National Provider Identifier
1780663609
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101235094 Issued in VA
Practice address
63245 Silvis Rd
Bend, OR 97701-9743
Phone
(458) 206-0145
NPI assigned
Jan 10, 2006
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 0101235094 VA
Diagnostic Radiology Physician 2085R0202X 0101235094 VA Primary

Addresses

Primary practice location

63245 Silvis Rd
Bend, OR 97701-9743

Mailing address

63245 Silvis Rd
Bend, OR 97701-9743
Phone (458) 206-0145

Other practice location 1

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

Other practice location 2

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 223-8400

Other practice location 3

4800 Maine St
Quincy, IL 62305-5875
Phone (217) 224-6423

Other identifiers 1

IdentifierTypeStateIssuer
127605OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OR, MI, FL, IL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160809000664 MO Practitioner - Diagnostic Radiology 4183918527 Reassigns benefits to 1 organization
I20171120001225 OR Practitioner - Diagnostic Radiology 4183918527 Reassigns benefits to 15 organizations
I20211209002937 MI Practitioner - Diagnostic Radiology 4183918527 Reassigns benefits to 2 organizations
I20240926000680 FL Practitioner - Diagnostic Radiology 4183918527 Reassigns benefits to 2 organizations
I20251226000513 IL Practitioner - Diagnostic Radiology 4183918527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians

Practice addresses (Care Compare)

Bend, OR 97701
Phone (561) 366-2002

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

1012 Cascade Ave
Hood River, OR 97031-1402
Phone (866) 722-1655

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

60338 Hedgewood LN
Bend, OR 97702-9380
Phone (904) 399-5550

61805 Ten Barr Ranch Rd
Bend, OR 97701-9314
Phone (380) 235-6195

63245 Silvis Rd
Bend, OR 97701-9743
Phone (888) 501-6087

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235094VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Oct 17, 2025 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince May 6, 2024 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital CurrentSince Oct 17, 2025 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Dec 5, 2017 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Mar 18, 2018 Accepting new patients
Hurley Medical Center CurrentSince Nov 8, 2021 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Feb 7, 2023 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Oct 24, 2025 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Nov 8, 2021 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Mar 18, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Mar 18, 2018 Accepting new patients
Hurley Medical Center Current Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology Past Accepting new patients
Radiology Partners of Iowa Inc Diagnostic Radiology Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology Past Accepting new patients

Locations

106 Lukken Industrial Dr W
Lagrange, GA 30240
Phone (706) 882-8128

1420 Vernon Rd
Lagrange, GA 30240
Phone (706) 880-7411

1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962

2200 Vernon St
Lagrange, GA 30240

300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920

303 Medical Dr
Ste 405
Lagrange, GA 30240
Phone (706) 812-2229

1000 Johnson Ferry Rd
Ste 2
Sandy Springs, GA 30342

1005 Broadway St
Quincy, IL 62301

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

100 Medical Dr
Hannibal, MO 63401

101 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 29

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 29

Hospital & facility affiliations 6

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1780663609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63245 SILVIS RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019743",
            "telephone_number": "458-206-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63245 SILVIS RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019743",
            "telephone_number": "458-206-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016877",
            "country_code": "US",
            "telephone_number": "573-221-5250",
            "fax_number": "573-231-3731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012719",
            "country_code": "US",
            "telephone_number": "217-223-8400",
            "fax_number": "217-214-6295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Maine St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623055875",
            "country_code": "US",
            "telephone_number": "217-224-6423",
            "fax_number": "217-214-6295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "HENRY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101235094",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101235094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "127605",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.