Active NPI
Paul Robert Long, PAUL LONG M.D.
- Vascular Surgery Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD196678
- Practice address
- 1550 NE 27TH St Ste 100
Bend, OR 97701-7760 - Phone
- (541) 313-8111
- Fax
- (541) 313-8112
- NPI assigned
- Apr 26, 2010
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 30199 | OK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10037253 | TX | |
| Vascular Surgery Physician | 2086S0129X | MD196678 | OR | Primary |
Addresses
Primary practice location
1550 NE 27TH St Ste 100
Bend, OR 97701-7760
Mailing address
1550 NE 27TH St Ste 100
Bend, OR 97701-7760
Phone (541) 313-8111
Other practice location 1
557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-7281
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 |
|---|---|---|---|---|
| I20200108002567 | OR | Practitioner - Vascular Surgery | 0648554030 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Oklahoma College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Oregon Vascular Specialists LLC
Practice addresses (Care Compare)
1550 NE 27TH St
Suite 100
Bend, OR 97701-7760
Phone (541) 313-8111
Hospital & facility affiliations
- St Charles Medical Center - Bend
- Sky Lakes Medical Center
- Blue Mountain Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.1 of 100
- Quality
- 65.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 49 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD196678 | OR | MD | Vascular Surgery Physician |
| BP10037253 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Vascular Specialists LLC | Vascular Surgery | Current | Accepting new patients |
| Harney District Hospital | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| Dermatology Health Specialists, PC | Past | Accepting new patients |
Locations
1550 NE 27th St
Ste 100
Bend, OR 97701
Phone (541) 313-8111
557 W Washington St
Burns, OR 97720
Phone (541) 573-3682
559 W Washington St
Burns, OR 97720
Phone (541) 573-2074
4052 S 6th St
Klamath Falls, OR 97603
Phone (541) 313-8111
3818 SW 21st St
Ste 201
Redmond, OR 97756
Phone (541) 313-8111
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EDIHDD
Organizations & group practices 5
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.
-
- Vascular Surgery Physician
- Bend, OR
- NPI 1669917167
OR, Vascular Surgery
-
- Multi-Specialty Clinic/Center
- Burns, OR
- NPI 1972113306
-
- Dermatology Physician
- Bend, OR
- NPI 1447713573
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1972820355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 NE 27TH ST STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977017760",
"telephone_number": "541-313-8111",
"fax_number": "541-313-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 NE 27TH ST STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977017760",
"telephone_number": "541-313-8111",
"fax_number": "541-313-8112"
}
],
"practiceLocations": [
{
"address_1": "557 W Washington St",
"address_purpose": "LOCATION",
"city": "Burns",
"state": "OR",
"postal_code": "977201441",
"country_code": "US",
"telephone_number": "541-573-7281",
"fax_number": "541-573-8627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "PAUL",
"middle_name": "ROBERT",
"credential": "PAUL LONG M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OK",
"license": "30199",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10037253",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OR",
"license": "MD196678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.