NPIMap

Individual provider Active NPI

Ryan Lee Cain, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1780918847
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA158690 Issued in OR
Practice address
900 SW 5TH Ave
Portland, OR 97204-1235
Phone
(503) 684-8252
Fax
(866) 859-8195
NPI assigned
Sep 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA158690 OR Primary
Physician Assistant 363A00000X 4477 AZ
Medical Physician Assistant 363AM0700X PA158690 OR

Addresses

Primary practice location

900 SW 5TH Ave
Portland, OR 97204-1235

Mailing address

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

Other practice location 1

4040 W 11th Ave Ste B
Eugene, OR 97402-5601
Phone (541) 500-2500

Other practice location 2

501 NW Elks Dr Ste 100
Corvallis, OR 97330-3757
Phone (541) 768-4950

Other practice location 3

441 NW Elks Dr Ste 100
Corvallis, OR 97330-3744
Phone (541) 768-4950

Other identifiers 2

IdentifierTypeStateIssuer
4477OtherAZMEDICAL LICENSE
PA158690OtherOROREGON STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcain202978@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
I20150414000462 OR Practitioner - Physician Assistant 1153514807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
  • Salem Hospital Hospital, Salem, OR, CCN 380051

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
100 of 100Reported as group
Quality
92.23
Promoting interoperability
100
Improvement activities
40
Cost
100

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4477AZMDPhysical Therapist
PA158690ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis CurrentSince Jul 1, 2021 Accepting new patients
Southwest Emergency Physicians, PLLC Past Accepting new patients

Locations

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

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

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

Interoperability endpoints

  • Direct secure messaging: ryan.cain@hoos.ikm.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1780918847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW 5TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041235",
            "telephone_number": "503-684-8252",
            "fax_number": "866-859-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 W 11th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974025601",
            "country_code": "US",
            "telephone_number": "541-500-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 NW Elks Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303757",
            "country_code": "US",
            "telephone_number": "541-768-4950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 NW Elks Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303744",
            "country_code": "US",
            "telephone_number": "541-768-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "RYAN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA158690",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4477",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA158690",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4477",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE LICENSE",
            "identifier": "PA158690",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcain202978@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 Portland, OR

Sources for this page

Verify at the official NPI Registry.