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RACHEL J SHIRLEY D.O.
NPI 1174889703
Surgery in Corvallis, OR

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
93.57/100
CMS Quality Rating
441 NW ELKS DR STE 101, CORVALLIS, OR 97330(541) 768-1252 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2023, Dec 22, 2021, Oct 19, 2021 and 4 more (7 updates tracked since 2018).

About Rachel J Shirley D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL J SHIRLEY D.O. (NPI 1174889703) is an individual surgery provider in Corvallis, Oregon, licensed in Oregon (DO206683) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2012).

NPPES Registry Identity

NPI1174889703
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameRACHEL J SHIRLEYCredential: D.O.
Location Address441 NW ELKS DR STE 101Corvallis, OR 97330-3744
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Phone(541) 768-1252
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2012
Enumeration DateApril 9, 2012
Last NPPES UpdateAugust 8, 20237 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1174889703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OR · DO206683✔ Licensed in NV · DO2412
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
441 NW ELKS DR STE 101, Corvallis, OR 97330
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel J Shirley D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618273707
PECOS Enrollment IDI20211013000005
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services27 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
27 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
15 services15 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
14 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380014
Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County
Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380022
Location1046 6th Avenue SWAlbany, OR 97321 · Linn County
Emergency services Birthing friendly

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381302
Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County
Emergency services Birthing friendly

Samaritan Pacific Community Hospital

Critical Access Hospitals · Newport, OR
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381314
Location930 SW Abbey StreetNewport, OR 97365 · Lincoln County
Emergency services Birthing friendly

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381323
Location525 N Santiam HighwayLebanon, OR 97355 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
44%45 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%60 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
13%31 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
66%47 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%33 patients2/55-star benchmark: 97%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
89%47 patients4/55-star benchmark: 100%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
97%39 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YARROW J. MCCONNELL MD
Surgery
441 NW ELKS DR STE 101
CORVALLIS, OR 97330
Benton County (541) 768-1252
AMELIA ELISABETH CANRIGHT ELLIOTT PA
Physician Assistant
441 NW ELKS DR STE 101
CORVALLIS, OR 97330
Benton County (541) 768-5200
CLARA STONE PA-C
Physician Assistant
441 NW ELKS DR STE 101
CORVALLIS, OR 97330
Benton County (541) 768-1252
GOOD SAMARITAN HOSPITAL CORVALLIS
Clinic/Center
441 NW ELKS DR STE 101
CORVALLIS, OR 97330
Benton County (541) 768-1252
GOOD SAMARITAN HOSPITAL CORVALLIS
Obstetrics & Gynecology (Gynecologic Oncology)
441 NW ELKS DR STE 101
CORVALLIS, OR 97330
Benton County (541) 768-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachel Shirley's NPI number?

The NPI number for Rachel Shirley is 1174889703. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Rachel Shirley located?

Rachel Shirley practices at 441 NW Elks Dr Ste 101, Corvallis, OR 97330. The listed phone number is (541) 768-1252.

What is Rachel Shirley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rachel Shirley enrolled in Medicare?

Yes. Rachel Shirley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rachel Shirley accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Rachel Shirley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rachel Shirley affiliated with any hospitals?

According to CMS data, Rachel Shirley is affiliated with Good Samaritan Regional Medical Center, Samaritan Albany General Hospital, Samaritan North Lincoln Hospital, Samaritan Pacific Community Hospital and Samaritan Lebanon Community Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Shirley was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.