Individual provider Active NPI

Tina Rutar, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Medford, OR
National Provider Identifier
1861525248
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
MD160057 Issued in OR
Practice address
1408 E Barnett Rd
Medford, OR 97504-8279
Phone
(541) 779-2020
Fax
(541) 770-6838
NPI assigned
Mar 14, 2007
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A89466 CA
Ophthalmology Physician 207W00000X MD160057 OR
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X MD160057 OR Primary

Addresses

Primary practice location

1408 E Barnett Rd
Medford, OR 97504-8279

Mailing address

1408 E Barnett Rd
Medford, OR 97504-8279
Phone (541) 779-2020

Other identifiers 2

IdentifierTypeStateIssuer
A89466OtherCALICENSE #
00894660OtherCAMEDI-CAL PPIN #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TRutar@medfordeyedoctors.updoxdirect.com Health Information Exchange (HIE)

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
I20130221000308 OR Practitioner - Ophthalmology 6002916095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cataract and Laser Institute of Southern Oregon PCGroup PAC ID 7517952344, 5 clinicians

Practice addresses (Care Compare)

1408 E Barnett Rd
Medford, OR 97504-8279
Phone (541) 779-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
97.66
Improvement activities
40
Cost
79.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89466CAMDClinical Social Worker
A89466CAMDOphthalmology Physician
MD160057ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cataract and Laser Institute of Southern Oregon PC Ophthalmology CurrentSince Mar 1, 2013 Accepting new patients

Locations

1022 NW 6th St
Grants Pass, OR 97526
Phone (541) 476-4545

1408 E Barnett Rd
Medford, OR 97504
Phone (503) 779-2464

Interoperability endpoints

  • Direct secure messaging: trutar@medfordeyedoctors.updoxdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1861525248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048279",
            "telephone_number": "541-779-2020",
            "fax_number": "541-770-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048279",
            "telephone_number": "541-779-2020",
            "fax_number": "541-770-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTAR",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A89466",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD160057",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OR",
            "license": "MD160057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "A89466",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PPIN #",
            "identifier": "00894660",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRutar@medfordeyedoctors.updoxdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "1408 E Barnett Rd",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975048279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.