Active NPI
Matthew I Foley, MD
- Vascular Surgery Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD21415
- Practice address
- 1040 NW 22ND Ave
Suite 250
Portland, OR 97210-3057 - Phone
- (503) 413-7557
- Fax
- (503) 413-6547
- NPI assigned
- Apr 11, 2006
- Last updated
- Mar 14, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD21415 | OR | Primary |
Addresses
Primary practice location
1040 NW 22ND Ave
Suite 250
Portland, OR 97210-3057
Mailing address
2962 SW Champlain Dr
Portland, OR 97205-5875
Phone (503) 327-8272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227291 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Medical College of Wisconsin, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
2101 NE 139TH St
Suite 260
Vancouver, WA 98686-2311
Phone (360) 487-2870
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487
24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 413-8988
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-1122
501 N Graham St
Suite 415
Portland, OR 97227-2006
Phone (503) 413-3580
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.83 of 100
- Quality
- 96.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 13 |
| 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 |
|---|---|---|---|
| 21415 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Past | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
501 N Graham St
Ste 415
Portland, OR 97227
Phone (503) 282-7748
500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101
2101 NE 139th St
Vancouver, WA 98686
Phone (360) 487-2800
2101 NE 139th St
Ste 2
Vancouver, WA 98686
Phone (360) 487-2870
2101 NE 139th St
Ste 250
Vancouver, WA 98686
Phone (360) 487-1717
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Interoperability endpoints
- mfoley2911@direct.lhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
dba Legacy Good Samaritan Hospital DPP
- Clinic/Center
- Portland, OR
- NPI 1134750037
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Unity Center for Behavioral Health-PES
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
dba Legacy Laboratory Services
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Hospital
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1982667630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2962 SW CHAMPLAIN DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972055875",
"telephone_number": "503-327-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE",
"address_2": "SUITE 250",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103057",
"telephone_number": "503-413-7557",
"fax_number": "503-413-6547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLEY",
"first_name": "MATTHEW",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OR",
"license": "MD21415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227291",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.