DR. RODERICK WILLIAM BEAVER MD
NPI 1689615692
Emergency Medicine in Ilwaco, WA

Q: What is Roderick Beaver's NPI number?

The NPI number for Roderick Beaver is 1689615692. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Roderick Beaver's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Roderick Beaver was last updated on December 2, 2022. 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.

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment

174 1ST AVE N, ILWACO, WA 98624(360) 448-0587 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2022, Apr 5, 2020 (2 updates tracked since 2020).

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About Dr. Roderick William Beaver Md NPPES

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

DR. RODERICK WILLIAM BEAVER MD (NPI 1689615692) is an individual emergency medicine provider in Ilwaco, Washington, licensed in Washington (MD00041270) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ocean Beach Hospital, and maintains a secondary practice location in White Salmon.

NPPES Registry Identity

NPI1689615692

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. RODERICK WILLIAM BEAVERCredential: MD

Location Address174 1ST AVE NIlwaco, WA 98624-9137

Mailing Address34400 Ne Lester AveLa Center, WA 98629-3413 · (360) 448-0587 · Fax (360) 263-4928

Phone(360) 448-0587

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1999

Enumeration DateJune 9, 2006

Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1689615692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WA · MD00041270

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

174 1ST AVE N, Ilwaco, WA 98624

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Secondary Practice Location 1

Location 1211 NE Skyline DrWhite Salmon, WA 98672-1948 · Phone (509) 493-1101

Other Identifiers 2

Medicaid1016271WA

Medicaid8323198WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Roderick William Beaver Md 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 ID8729097845

PECOS Enrollment IDI20060418000189

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.

Hospital Affiliations CMS Care Compare

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

Ocean Beach Hospital

Critical Access Hospitals · Ilwaco, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501314

Location174 First Avenue NorthIlwaco, WA 98624 · Pacific County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98624 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

ANDREW CLIFFORD LAKANEN MS, RDN, LD

Dietitian, Registered