Timothy Eldon Blumer, D.O.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Albany, OR
NPI 1851497085 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1851497085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 19212 (OR)
- Practice address
- 534 Pleasant View Way NW Ste 300
Albany, OR 97321-1789 - Phone
- (541) 812-3323
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Medicare Care Compare profile
- 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 Hospital
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 100
- Quality
- 85.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.37 of 100
- Quality
- 92.31
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110309000896 | OR | Practitioner - Psychiatry | 5799967923 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19212 | OR | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany General Hospital | Current | Accepting new patients | |
| Mid-Valley Healthcare, Inc. | Current |
Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Psychiatry | Current |
Accepting new patients |
| County of Linn | Current |
Accepting new patients | |
| Mid-Valley Healthcare Inc | Current |
Accepting new patients | |
| Albany General Hospital | Current |
Accepting new patients | |
| Albany General Hosptial | Current |
Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current |
Accepting new patients | |
| Albany General Hospital | Current |
Accepting new patients | |
| County of Linn | Current |
Accepting new patients | |
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| Firstcare Medical Foundation | Psychiatry | Past | Accepting new patients |
Locations
445 3rd Ave SW
#H
Albany, OR 97321
2730 Pacific Blvd SE
Albany, OR 97321
534 Pleasant View Way NW
Ste 300
Albany, OR 97321
Phone (541) 812-3323
445 3rd Ave SW
Albany, OR 97321
Phone (541) 924-6916
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
675 N 5th St
Lebanon, OR 97355
Phone (541) 451-6282
425 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6960
Interoperability endpoints
- tblumer5144@samhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 19212 | OR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 19212 | OR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076054 | Medicaid | OR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tblumer5144@samhealth.direct-ci.com |
Other providers in Albany, OR
- Jeff L Blackford
- Brice Blahnik
- Kevin Dean Blair
- Kristofer Richard Blankenship
- Chloe Bliss
- Linda Renee Bockheim
- Michael Boggess
- Cristina Boguna Falco
- Julie Bohlman
- Bruce Bohman
All providers in Albany, OR · Child & Adolescent Psychiatry Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.