Individual provider Active NPI

Marissa Lynne Simard, MD

  • Diagnostic Radiology Physician
  • Eugene, OR
National Provider Identifier
1972784486
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD161986 Issued in OR
Practice address
920 Country Club Rd
Suite 100a
Eugene, OR 97401-6024
Phone
(541) 242-4162
Fax
(541) 345-2358
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD161986 OR Primary

Addresses

Primary practice location

920 Country Club Rd
Suite 100a
Eugene, OR 97401-6024

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 242-4162

Other identifiers 2

IdentifierTypeStateIssuer
1972784486OtherNPI
500659534MedicaidOR

Other names 1

  • Marissa Lynne Dean Former name

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
I20130805000903 OR Practitioner - Diagnostic Radiology 0345401733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

Practice addresses (Care Compare)

1650 Chambers St
Eugene, OR 97402-3636
Phone (541) 686-1711

2000 N 19TH St
Springfield, OR 97477-2526
Phone (541) 746-5437

2830 Crescent Ave
Eugene, OR 97408-7397
Phone (541) 686-9000

330 S Garden Way
Suite 350
Eugene, OR 97401-8179
Phone (541) 746-6816

3915 River Rd
Eugene, OR 97404-1230
Phone (541) 688-9140

600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Aug 19, 2013 Accepting new patients

Locations

920 Country Club Rd
Ste 100A
Eugene, OR 97401
Phone (541) 242-4162

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: msimard42162@westdirect.optum.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1972784486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-242-4162",
            "fax_number": "541-345-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COUNTRY CLUB RD",
            "address_2": "SUITE 100A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016024",
            "telephone_number": "541-242-4162",
            "fax_number": "541-345-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMARD",
        "first_name": "MARISSA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD161986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972784486",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500659534",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "DEAN",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.