Individual provider Active NPI

Mitchell V. Brinks, MD

  • Ophthalmology Physician
  • Ellensburg, WA
National Provider Identifier
1891870697
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
WA0004791 Issued in WA
Practice address
109 N Pine St
Ellensburg, WA 98926-3330
Phone
(509) 962-3937
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 MD10934 HI
Ophthalmology Physician 207W00000X WA0004791 WA Primary
Ophthalmology Physician 207W00000X MD18566 OR

Addresses

Primary practice location

109 N Pine St
Ellensburg, WA 98926-3330

Mailing address

77 Wedgewood Dr
Eugene, OR 97404-1786

Other practice location 1

94220 4th St
Gold Beach, OR 97444-7772
Phone (541) 247-3000

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
I20080319000325 OR Practitioner - Ophthalmology 0143240978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

2055 Exchange St
Suite 230
Astoria, OR 97103-3419
Phone (503) 338-3803

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10934HIMDOphthalmology Physician
WA0004791WAMDOphthalmology Physician
7847AKMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Apr 1, 2025 Accepting new patients
Harney District Hospital Current Accepting new patients
Harney District Hospital CurrentSince Nov 11, 2011 Accepting new patients
University Professional Services CurrentSince Apr 1, 2025 Accepting new patients
Harney District Hospital CurrentSince Nov 11, 2011 Accepting new patients
Blue Mountain Hospital District CurrentSince May 14, 2012 Accepting new patients

Locations

2055 Exchange St
Ste 230
Astoria, OR 97103
Phone (503) 338-3803

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3375 SW Terwilliger Blvd
Portland, OR 97239
Phone (503) 226-3916

Interoperability endpoints

  • Direct secure messaging: mbrinksmd80964@direct.ohsu.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1891870697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WEDGEWOOD DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N PINE ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263330",
            "telephone_number": "509-962-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94220 4th St",
            "address_purpose": "LOCATION",
            "city": "Gold Beach",
            "state": "OR",
            "postal_code": "974447772",
            "country_code": "US",
            "telephone_number": "541-247-3000",
            "fax_number": "541-247-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKS",
        "first_name": "MITCHELL",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD10934",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "WA0004791",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD18566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.