Individual provider Active NPI

Adam Christopher Aufderheide, MD

  • Ophthalmology Physician
  • Medford, OR
National Provider Identifier
1982915344
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD176895 Issued in OR
Practice address
748 State St
Medford, OR 97504-8473
Phone
(541) 842-2020
Fax
(541) 842-2022
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 51281 TN
Ophthalmology Physician 207W00000X 9407515 KS
Ophthalmology Physician 207W00000X MD176895 OR Primary

Addresses

Primary practice location

748 State St
Medford, OR 97504-8473

Mailing address

256 Yale Dr
Medford, OR 97504-9736
Phone (541) 842-2020

Other identifiers 1

IdentifierTypeStateIssuer
MD176895OtherOROREGON MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AaufderHeide@RCCOR.intellechartdirect.net Direct

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
I20160725002162 OR Practitioner - Ophthalmology 8729205646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Care Center, LLCGroup PAC ID 1153315536, 2 clinicians

Practice addresses (Care Compare)

748 State St
Medford, OR 97504-8473
Phone (541) 842-2020

Hospital & facility affiliations

  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9407515KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Care Center, LLC Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients

Locations

110 Chestnut St
Mount Shasta, CA 96067
Phone (530) 926-0605

1236 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-8200

748 State St
Medford, OR 97504
Phone (541) 772-5282

Interoperability endpoints

  • Direct secure messaging: aaufderheide@rccor.intellechartdirect.net

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.

Hospital & facility affiliations 2

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1982915344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 YALE DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049736",
            "telephone_number": "541-842-2020",
            "fax_number": "541-842-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048473",
            "telephone_number": "541-842-2020",
            "fax_number": "541-842-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUFDERHEIDE",
        "first_name": "ADAM",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "51281",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "9407515",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD176895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL LICENSE",
            "identifier": "MD176895",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AaufderHeide@RCCOR.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "748 State St",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975048473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.