Active NPI
Rebecca C Dale, M.D.
- Ophthalmology Physician
- North Bend, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00047608
- Practice address
- 126 E 2ND St
North Bend, WA 98045-9175 - Phone
- (425) 831-2020
- Fax
- (425) 831-0027
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00047608 | WA | Primary |
Addresses
Primary practice location
126 E 2ND St
North Bend, WA 98045-9175
Mailing address
126 E 2ND St
North Bend, WA 98045-9175
Phone (425) 292-0716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037874 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Oregon Health Sciences University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
126 E 2ND St
North Bend, WA 98045-9175
Phone (425) 831-2020
22620 SE 4TH St
Suite 110
Sammamish, WA 98074-7375
Phone (425) 242-6868
7726 Ctr Blvd SE
Suite 100
Snoqualmie, WA 98065-8749
Phone (425) 831-2060
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.8 of 100
- Quality
- 0
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 173 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00047608 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Partners, PLLC | Ophthalmology | Current | Accepting new patients |
| Eastside Medical Group, LLC | Past | Accepting new patients |
Locations
1301 4th Ave NW
Ste 201
Issaquah, WA 98027
Phone (425) 270-3713
126 E 2nd St
North Bend, WA 98045
Phone (425) 831-2020
22620 SE 4th St
Ste 110
Sammamish, WA 98074
Phone (425) 242-6868
7726 Center Blvd SE
Ste 100
Snoqualmie, WA 98065
Phone (425) 831-2020
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 and National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Snoqualmie, WA
- NPI 1225251465
Ophthalmology
-
- Ambulatory Surgical Clinic/Center
- Issaquah, WA
- NPI 1750709358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1790864080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 E 2ND ST",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980459175",
"telephone_number": "425-292-0716",
"fax_number": "425-292-9641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E 2ND ST",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980459175",
"telephone_number": "425-831-2020",
"fax_number": "425-831-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "REBECCA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00047608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1037874",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.