Individual provider Active NPI

Randolph Todd Crichton Jones, M.D.

  • Surgery Physician
  • Hermiston, OR
National Provider Identifier
1861753923
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD178974 Issued in OR
Practice address
620 NW 11TH St Ste 202
Hermiston, OR 97838-6937
Phone
(541) 667-3804
Fax
(541) 667-3805
NPI assigned
Jun 6, 2012
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD178974 OR Primary

Addresses

Primary practice location

620 NW 11TH St Ste 202
Hermiston, OR 97838-6937

Mailing address

620 NW 11TH St Ste M201
Hermiston, OR 97838-6941
Phone (541) 289-4118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171219002376 OR Practitioner - General Surgery 3870851983 Reassigns benefits to 4 organizations
I20240226004217 WA Practitioner - General Surgery 3870851983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Vein Restoration Or LLCGroup PAC ID 1355824913, 13 clinicians
Inovia LLCGroup PAC ID 2860592854, 15 clinicians

Practice addresses (Care Compare)

1405 SE 164TH Ave
Suite 101
Vancouver, WA 98683-9644
Phone (855) 830-8346

911 NW 18TH Ave
Portland, OR 97209-2324
Phone (855) 830-8346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
88.93
Promoting interoperability
93
Improvement activities
40
Cost
69.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal556
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System Single Specialty CurrentSince Oct 1, 2017 Accepting new patients
Inovia LLC Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Columbia Lutheran Charities Single Specialty Past Accepting new patients
Good Shepherd Health Care System Single Specialty PastSince Nov 3, 2019 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

1700 NW 167th Pl
Ste 245
Beaverton, OR 97006
Phone (503) 447-4125

2200 NE Neff Rd
Ste 204
Bend, OR 97701
Phone (541) 382-8346

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

620 NW 11th St
Ste 202
Hermiston, OR 97838
Phone (541) 667-3804

620 NW 11th St
Ste M201
Hermiston, OR 97838

911 NW 18th Ave
Portland, OR 97209
Phone (503) 227-3666

9200 SE 91st Ave
Ste 200
Portland, OR 97086
Phone (503) 233-5548

7421 SW Bridgeport Rd
Ste 215
Tigard, OR 97224
Phone (503) 620-2400

1405 SE 164th Ave
Ste 101
Vancouver, WA 98683
Phone (360) 253-7666

Interoperability endpoints

  • Direct secure messaging: todd.jones@ivsc.eclinicaldirectplus.com

Organizations & group practices 7

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 2

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1861753923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M201",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-289-4118",
            "fax_number": "541-667-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE 202",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386937",
            "telephone_number": "541-667-3804",
            "fax_number": "541-667-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RANDOLPH",
        "middle_name": "TODD CRICHTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD178974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.