Individual provider Active NPI

Timothy Eldon Blumer, D.O.

  • Child & Adolescent Psychiatry Physician
  • Albany, OR
National Provider Identifier
1851497085
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
19212 Issued in OR
Practice address
534 Pleasant View Way NW Ste 300
Albany, OR 97321-1789
Phone
(541) 812-3323
NPI assigned
Sep 15, 2006
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Psychiatry Physician 2084P0800X 19212 OR
Child & Adolescent Psychiatry Physician 2084P0804X 19212 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 Ste 101
Corvallis, OR 97330-3768
Phone (541) 768-4620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tblumer5144@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
I20110309000896 OR Practitioner - Psychiatry 5799967923 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
College of Osteo Med of the Pacific at Pomona, 1989
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

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
19212ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Good Samaritan Hospital Corvallis Psychiatry CurrentSince Apr 1, 2012 Accepting new patients
Albany General Hospital Current Accepting new patients
County of Linn CurrentSince Oct 1, 2015 Accepting new patients
Albany General Hospital CurrentSince Jun 1, 2016 Accepting new patients
Albany General Hospital CurrentSince Dec 31, 2023 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Apr 1, 2012 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jun 1, 2016 Accepting new patients
County of Linn CurrentSince Oct 1, 2015 Accepting new patients
Albany General Hosptial CurrentSince Jun 1, 2016 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Firstcare Medical Foundation Psychiatry Past Accepting new patients

Locations

2730 Pacific Blvd SE
Albany, OR 97321

445 3rd Ave SW
Albany, OR 97321
Phone (541) 924-6916

445 3rd Ave SW
#H
Albany, OR 97321

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

3509 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-5235

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

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

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

425 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6960

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

Interoperability endpoints

  • Direct secure messaging: tblumer5144@samhealth.direct-ci.com

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1851497085",
    "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 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303768",
            "country_code": "US",
            "telephone_number": "541-768-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUMER",
        "first_name": "TIMOTHY",
        "middle_name": "ELDON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "19212",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "19212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tblumer5144@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.