Active NPI
Jamie Mieras, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DP181086
- Practice address
- 25050 SE Stark St
Ste 265
Gresham, OR 97030-3327 - Phone
- (503) 413-2005
- Fax
- (503) 413-3699
- NPI assigned
- Apr 13, 2010
- Last updated
- Jan 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E 5094 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD.0000736 | CO | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DP181086 | OR | Primary |
Addresses
Primary practice location
25050 SE Stark St
Ste 265
Gresham, OR 97030-3327
Mailing address
PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329089YXFB | Other | CO | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, OR, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
555 Prospect Ave
Estes Park, CO 80517-6312
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.91 of 100
- Quality
- 88.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E 5094 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uchealth Estes Valley Medical Center | Current | Accepting new patients | |
| Uchealth Estes Valley Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients |
Locations
555 Prospect Ave
Estes Park, CO 80517
Phone (970) 586-2200
555 Prospect Ave
Ph
Estes Park, CO 80517
Phone (970) 586-2317
25050 SE Stark St
Gresham, OR 97030
Phone (503) 413-5702
25050 SE Stark St
Ste 265
Gresham, OR 97030
Phone (503) 413-2005
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
Interoperability endpoints
- jmieras195918@direct.lhs.org
Organizations & group practices 6
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
dba Estes Park Health
- Critical Access Hospital
- Estes Park, CO
- NPI 1154312981
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
-
dba Estes Park Health Physicians Clinic
- Primary Care Clinic/Center
- Estes Park, CO
- NPI 1467581470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Estes Park Health
- Critical Access Hospital
- Estes Park, CO
- NPI 1154312981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1871819078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3777",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25050 SE STARK ST",
"address_2": "STE 265",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303327",
"telephone_number": "503-413-2005",
"fax_number": "503-413-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIERAS",
"first_name": "JAMIE",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E 5094",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CO",
"license": "POD.0000736",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OR",
"license": "DP181086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "329089YXFB",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.