SAMARITAN PEDIATRICS - CIRCLE BLVD.
NPI 1629247176
Pediatrics in Corvallis, OR

Active since February 28, 2008CLIA 38D0626054 · Waiver
1112 NW CIRCLE BLVD, CORVALLIS, OR 97330(541) 768-1221 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samaritan Pediatrics - Circle Blvd. NPPES

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

SAMARITAN PEDIATRICS - CIRCLE BLVD. (NPI 1629247176) is a healthcare organization registered as a pediatrics in Corvallis, Oregon and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Becky Pape, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629247176
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGOOD SAMARITAN HOSPITAL CORVALLIS
Location Address1112 NW CIRCLE BLVDCorvallis, OR 97330
Mailing Address1112 Nw Circle BlvdCorvallis, OR 97330-1462 · (541) 768-1221
Organization SubpartNo
Authorized OfficialBecky PapeCeo · (541) 768-5009
Enumeration DateFebruary 28, 2008
Last NPPES UpdateJune 5, 2018
✔ NPI 1629247176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1112 NW CIRCLE BLVD, Corvallis, OR 97330

Other Names 1

Doing Business AsSamaritan Pediatrics - Circle Blvd.

Other Identifiers 1

Medicaid022528OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samaritan Pediatrics - Circle Blvd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

521

Medicare enrollment records show 521 clinicians reassign Medicare billing to Samaritan Pediatrics - Circle Blvd., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 355 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Internal Medicine91
Family Practice57
Nurse Practitioner40
Anesthesiology37
Pediatric Medicine30
Physical Therapist in Private Practice28
Psychiatry26
Certified Registered Nurse Anesthetist (CRNA)25
42 other specialties187

Nearest to this location (20)

See all 521
Psychiatry
NPI 1760987473
1112 NW CIRCLE BLVD
Corvallis, OR 97330
(541) 768-5235
✔ PECOSSame address
Psychiatry
NPI 1093123051
1112 NW CIRCLE BLVD
Corvallis, OR 97330
(541) 768-1221
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1407262421
1112 NW CIRCLE BLVD
Corvallis, OR 97330
(541) 768-1221
✔ PECOSSame address
General Surgery
NPI 1659483204
996 NW CIRCLE BLVD STE 103
Corvallis, OR 97330
(541) 768-1252
✔ PECOS✔ Accepts Medicare0.1 mi
Plastic and Reconstructive Surgery
NPI 1063589059
996 NW CIRCLE BLVD STE 103
Corvallis, OR 97330
(541) 768-1252
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1881630192
996 NW CIRCLE BLVD STE 103
Corvallis, OR 97330
(541) 768-1252
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1699220491
990 NW CIRCLE BLVD STE 102
Corvallis, OR 97330
(541) 768-5486
✔ PECOS✔ Accepts Medicare0.2 mi
Urology
NPI 1932159324
990 NW CIRCLE BLVD STE 102
Corvallis, OR 97330
(541) 768-5486
✔ PECOS✔ Accepts Medicare0.2 mi
Urology
NPI 1659530442
990 NW CIRCLE BLVD STE 102
Corvallis, OR 97330
(541) 768-5486
✔ PECOS✔ Accepts Medicare0.2 mi
Urology
NPI 1649382417
990 NW CIRCLE BLVD SUITE 102
Corvallis, OR 97330
(541) 768-5486
✔ PECOS✔ Accepts Medicare0.2 mi
Urology
NPI 1114196169
990 NW CIRCLE BLVD SUITE 102
Corvallis, OR 97330
(541) 768-5486
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1205886025
990 NW CIRCLE BLVD STE 102
Corvallis, OR 97330
(541) 768-5486
✔ PECOS✔ Accepts Medicare0.2 mi
Pediatric Medicine
NPI 1871508374
1835 NW KINGS BLVD
Corvallis, OR 97330
(541) 753-3542
✔ PECOS0.5 mi
Obstetrics/Gynecology
NPI 1437487238
400 NW WALNUT BLVD STE 300
Corvallis, OR 97330
(541) 768-4680
✔ PECOS✔ Accepts Medicare0.7 mi
Anesthesiology
NPI 1497913834
2773 NW 9TH ST
Corvallis, OR 97330
(541) 207-0910
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1649233503
441 NW ELKS DR STE 100
Corvallis, OR 97330
(541) 768-4950
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1629481452
441 NW ELKS DR STE 100
Corvallis, OR 97330
(541) 768-4950
✔ PECOS✔ Accepts Medicare1.0 mi
General Surgery
NPI 1174889703
441 NW ELKS DR STE 101
Corvallis, OR 97330
(541) 768-1252
✔ PECOS✔ Accepts Medicare1.0 mi
Medical Oncology
NPI 1710924451
441 NW ELKS DR STE 100
Corvallis, OR 97330
(541) 768-4950
✔ PECOS✔ Accepts Medicare1.0 mi
Physical Therapist in Private Practice
NPI 1396757456
815 NW 9TH ST STE 180
Corvallis, OR 97330
(541) 768-5157
✔ Accepts Medicare1.1 mi
See all 521 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0626054

Samaritan Pediatrics · Corvallis, OR
Active · expires Dec 31, 2027
CLIA Number38D0626054
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorLon Mcquillan
Laboratory Phone(541) 768-6216
Laboratory LocationSamaritan Pediatrics330 NW Elks Drive, Corvallis, OR 97330
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Good Samaritan Hospital Corvallis's NPI number?

The NPI number for Good Samaritan Hospital Corvallis is 1629247176. It was assigned to this organization in the NPPES registry on February 28, 2008. The provider is doing business as Samaritan Pediatrics - Circle Blvd..

Where is Good Samaritan Hospital Corvallis located?

Good Samaritan Hospital Corvallis is located at 1112 NW Circle Blvd, Corvallis, OR 97330. The listed phone number is (541) 768-1221.

What is Good Samaritan Hospital Corvallis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Good Samaritan Hospital Corvallis enrolled in Medicare?

Yes. Good Samaritan Hospital Corvallis is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Good Samaritan Hospital Corvallis?

According to the CMS Revalidation Reassignment List (October 2026 release), 521 clinicians in 50 Medicare specialties reassign their Medicare billing to Good Samaritan Hospital Corvallis. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (91), Family Practice (57) and Nurse Practitioner (40). Of these, 3 practice at this address and 355 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Good Samaritan Hospital Corvallis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0626054) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Good Samaritan Hospital Corvallis was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.