Individual provider Active NPI

Rodney Derrick Leavitt, M.D.

  • Ophthalmology Physician
  • Grants Pass, OR
National Provider Identifier
1982630695
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD26491 Issued in OR
Practice address
1226 NE 7TH St
Grants Pass, OR 97526-1424
Phone
(541) 476-6636
Fax
(541) 476-6690
NPI assigned
Jun 24, 2006
Last updated
Feb 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD26491 OR Primary

Addresses

Primary practice location

1226 NE 7TH St
Grants Pass, OR 97526-1424

Mailing address

1226 NE 7TH St
Grants Pass, OR 97526-1424
Phone (541) 476-6636

Other identifiers 1

IdentifierTypeStateIssuer
MD26491OtherOROREGON BOARD OF MED EXAM

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
I20060830000247 OR Practitioner - Ophthalmology 6901800176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Columbia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Eyecare Center PCGroup PAC ID 7113999236, 4 clinicians

Practice addresses (Care Compare)

1226 NE 7TH St
Grants Pass, OR 97526-1424
Phone (541) 476-6636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
82.02
Improvement activities
40
Cost
52.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery182
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Eyecare Center PC Ophthalmology CurrentSince Aug 1, 2006 Accepting new patients
Cascade Surgery Center LLC CurrentSince Jul 27, 2010 Accepting new patients

Locations

120 NE Manzanita Ave
Grants Pass, OR 97526
Phone (541) 476-6636

1226 NE 7th St
Grants Pass, OR 97526
Phone (541) 476-6636

Interoperability endpoints

  • FHIR API: https://57c9cc78-a402-499f-957d-8bbee6939ebd.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: rdl@cascadeeye.emadirect.md

Organizations & group practices 2

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 1

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1982630695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261424",
            "telephone_number": "541-476-6636",
            "fax_number": "541-476-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261424",
            "telephone_number": "541-476-6636",
            "fax_number": "541-476-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "RODNEY",
        "middle_name": "DERRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD26491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF MED EXAM",
            "identifier": "MD26491",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.