Active NPI
Mitchell V. Brinks, MD
- Ophthalmology Physician
- Ellensburg, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- WA0004791
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Services
Practice addresses (Care Compare)
2055 Exchange St
Suite 230
Astoria, OR 97103-3419
Phone (503) 338-3803
Hospital & facility affiliations
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10934 | HI | MD | Ophthalmology Physician |
| WA0004791 | WA | MD | Ophthalmology Physician |
| 7847 | AK | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| Blue Mountain Hospital District | Current | 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
- 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.
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Clinic/Center
- Vancouver, WA
- NPI 1881848307
-
- Medicare Defined Swing Bed Hospital Unit
- Burns, OR
- NPI 1558447714
-
- Multi-Specialty Clinic/Center
- Burns, OR
- NPI 1972113306
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.