Individual provider Active NPI

David Garth Meldrum, MD

  • Plastic Surgery Physician
  • Eugene, OR
National Provider Identifier
1962464222
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD25711 Issued in OR
Practice address
4780 Village Plaza Loop Ste 110
Eugene, OR 97401-6624
Phone
(541) 762-1500
Fax
(541) 393-8035
NPI assigned
Apr 3, 2006
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X MD25711 OR
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X MD25711 OR
Plastic Surgery Physician 208200000X MD25711 OR Primary

Addresses

Primary practice location

4780 Village Plaza Loop Ste 110
Eugene, OR 97401-6624

Mailing address

4780 Village Plaza Loop Ste 110
Eugene, OR 97401-6624
Phone (541) 762-1500

Other identifiers 1

IdentifierTypeStateIssuer
269810MedicaidOR

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
I20050623001057 OR Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9931144557 Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Southern Illinois University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4780 Village Plaza Loop
Suite 110
Eugene, OR 97401-6624
Phone (541) 762-1500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy18
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Plastic Surgery LLC Plastic Surgery Past Accepting new patients
Garth Meldrum MD LLC Plastic Surgery Past Accepting new patients
Peacehealth Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmeldrum@yourcarecommunity.org

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, 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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1962464222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 VILLAGE PLAZA LOOP STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016624",
            "telephone_number": "541-762-1500",
            "fax_number": "541-393-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 VILLAGE PLAZA LOOP STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016624",
            "telephone_number": "541-762-1500",
            "fax_number": "541-393-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDRUM",
        "first_name": "DAVID",
        "middle_name": "GARTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "OR",
            "license": "MD25711",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "OR",
            "license": "MD25711",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD25711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269810",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.