Individual provider Active NPI

Benjamin R Lafferty, MD

  • Child & Adolescent Psychiatry Physician
  • Albany, OR
National Provider Identifier
1801095773
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD177090 Issued in OR
Practice address
534 Pleasant View Way NW Ste 300
Albany, OR 97321-1789
Phone
(541) 812-3323
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 22405 WV
Child & Adolescent Psychiatry Physician 2084P0804X MD177090 OR Primary

Addresses

Primary practice location

534 Pleasant View Way NW Ste 300
Albany, OR 97321-1789

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

3517 NW Samaritan Dr
Suite 101
Corvallis, OR 97330-3767
Phone (541) 768-4620

Other identifiers 2

IdentifierTypeStateIssuer
500709165MedicaidOR
3810015793MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blafferty129428@samhealth.direct-ci.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
I20160627002498 OR Practitioner - Psychiatry 9032265020 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
West Virginia University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians

Practice addresses (Care Compare)

534 Pleasant View Way NW
Suite 400
Albany, OR 97321-1789
Phone (541) 812-5470

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan North Lincoln Hospital CurrentSince Aug 18, 2017 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Aug 18, 2017 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jun 20, 2016 Accepting new patients
Albany General Hospital CurrentSince Dec 31, 2023 Accepting new patients
Albany General Hospital Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 20, 2016 Accepting new patients
Albany General Hospital CurrentSince Jun 20, 2016 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 20, 2016 Accepting new patients
Albany General Hospital CurrentSince Jun 20, 2016 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jun 20, 2016 Accepting new patients

Locations

534 Pleasant View Way NW
Ste 300
Albany, OR 97321
Phone (541) 812-3323

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

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

3517 NW Samaritan Dr
Ste 101
Corvallis, OR 97330
Phone (541) 753-2205

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

675 N 5th St
Lebanon, OR 97355
Phone (541) 451-6282

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1801095773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 PLEASANT VIEW WAY NW STE 300",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211789",
            "telephone_number": "541-812-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3517 NW Samaritan Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303767",
            "country_code": "US",
            "telephone_number": "541-768-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WV",
            "license": "22405",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD177090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500709165",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015793",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blafferty129428@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "534 Pleasant View Way NW Ste 300",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.