Individual provider Active NPI

Paul Robert Long, PAUL LONG M.D.

  • Vascular Surgery Physician
  • Bend, OR
National Provider Identifier
1972820355
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD196678 Issued in OR
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

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 8022386663, 11 clinicians

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 Hospital, Bend, OR, CCN 380047
  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
  • Blue Mountain Hospital Hospital, John Day, OR, CCN 381305

Merit-based Incentive Payment System (MIPS)

Final score
85.1 of 100Reported as group
Quality
65.33
Promoting interoperability
100
Improvement activities
40
Cost
75.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)49
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD196678ORMDVascular Surgery Physician
BP10037253TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Vascular Specialists LLC Vascular Surgery CurrentSince Jan 1, 2020 Accepting new patients
Harney District Hospital CurrentSince May 1, 2021 Accepting new patients
Harney District Hospital CurrentSince May 1, 2021 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Dermatology Health Specialists, PC PastSince Feb 15, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.