Active NPI
Terry Wayne Shortridge, MD
- Surgery Physician
- Lebanon, OR
National Provider Identifier
1922028711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD16008
- Practice address
- 675 N 5TH St
Lebanon, OR 97355-2875 - Phone
- (541) 451-6282
- NPI assigned
- Jul 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD16008 | OR | Primary |
Addresses
Primary practice location
675 N 5TH St
Lebanon, OR 97355-2875
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094276 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tshortridge163719@samhealth.direct-ci.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Oregon Health Sciences University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200
525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101
Hospital & facility affiliations
- Samaritan Lebanon Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.77 of 100
- Quality
- 88.09
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16008 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Valley Healthcare, Inc. | Current | Accepting new patients | |
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| Mid-Valley Healthcare Inc | Current | Accepting new patients |
Locations
777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769
100 Mullins Dr
Ste C1
Lebanon, OR 97355
Phone (541) 451-6412
675 N 5th St
Lebanon, OR 97355
Phone (541) 451-6282
325 Park St
Lebanon, OR 97355
Phone (541) 451-7200
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Lebanon, OR
- NPI 1689625980
-
- Addiction Medicine (Internal Medicine) Physician
- Newport, OR
- NPI 1740087899
-
- Rural Health Clinic/Center
- Brownsville, OR
- NPI 1073879227
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lebanon, OR
- NPI 1689625980
-
- Endocrinology, Diabetes & Metabolism Physician
- Lebanon, OR
- NPI 1518347608
Hospital
-
- Substance Abuse Rehabilitation Facility
- Lebanon, OR
- NPI 1669000865
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1922028711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N 5TH ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973552875",
"telephone_number": "541-451-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTRIDGE",
"first_name": "TERRY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD16008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094276",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tshortridge163719@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "675 N 5th St",
"city": "Lebanon",
"state": "OR",
"country_code": "US",
"postal_code": "973552875",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.