Julio J Bird IV, M.D.
Individual provider Active NPI Surgery Physician · Corvallis, OR
NPI 1992962377 · NPPES record last updated Jun 20, 2022
Key facts
- NPI
- 1992962377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD209341 (OR)
- Practice address
- 3517 NW Samaritan Dr Ste 100
Corvallis, OR 97330-3768 - Phone
- (541) 768-4280
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 66
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Good Samaritan Hospital Corvallis
Practice addresses (Care Compare)
3517 NW Samaritan Dr
Corvallis, OR 97330-3768
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
3615 NW Samaritan Dr
Corvallis, OR 97330-3771
Hospital & facility affiliations
- Good Samaritan Regional Medical Center
- Samaritan Albany General Hospital
- Samaritan Lebanon Community Hospital
- Samaritan Pacific Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 85.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 17 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121206000308 | WI | Practitioner - General Surgery | 0941452585 | Reassigns benefits to 2 organizations |
| I20220616001491 | OR | Practitioner - General Surgery | 0941452585 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD209341 | OR | MD | Surgery Physician |
| 51346-20 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Surgery | Current |
Accepting new patients |
| Good Samaritan Hospital Corvallis | Current |
Accepting new patients |
Locations
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
3517 NW Samaritan Dr
Ste 100
Corvallis, OR 97330
Phone (541) 768-4280
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 51346-20 | WI | |
| Surgery Physician | 208600000X | MD209341 | OR | Yes |
Addresses
Primary practice location
3517 NW Samaritan Dr Ste 100
Corvallis, OR 97330-3768
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbird232703@samhealth.direct-ci.com |
NPI Registry JSON
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1992962377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 NW SAMARITAN DR STE 100",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303768",
"telephone_number": "541-768-4280"
}
],
"practiceLocations": [
{
"address_1": "1000 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIRD",
"first_name": "JULIO",
"middle_name": "J",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "51346-20",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD209341",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbird232703@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3517 NW Samaritan Dr Ste 100",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303768",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corvallis, OR
- Todd David Bilby
- Odessa K Billamor
- Kristen Binger
- Nelson Joseph Binggeli
- David Nelson Bird
- Cara Birkby
- Owen Douglas Birnie
- Emily Sue Bishop
- Hannah Rose Bishop
- Leslie Desmond Bishop
All providers in Corvallis, OR · Surgery Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.