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ROSE CITY SPINE SURGERY
NPI 1790188258
Specialist in Portland, OR

Active since September 29, 2014
10000 SE MAIN ST, 318, PORTLAND, OR 97216(503) 253-4000(503) 253-4002 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rose City Spine Surgery NPPES

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

ROSE CITY SPINE SURGERY (NPI 1790188258) is a healthcare organization registered as a specialist in Portland, Oregon and active in the NPI registry since September 2014. The organization lists Bret Gene Ball, Physician, as its authorized official.

NPPES Registry Identity

NPI1790188258
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBRET GENE BALL LLC
Location Address10000 SE MAIN ST, 318Portland, OR 97216-2448
Mailing Address10101 Se Main St Ste 2014Portland, OR 97216-2457 · (971) 447-0700 · Fax (971) 223-0961
Phone(503) 253-4000
Fax(503) 253-4002
Organization SubpartNo
Authorized OfficialBret Gene BallPhysician · (971) 447-0700
Enumeration DateSeptember 29, 2014
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1790188258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · MD164558
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10000 SE MAIN ST, Portland, OR 97216
Open in Google Maps ↗

Other Names 1

Doing Business AsRose City Spine Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose City Spine Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Rose City Spine Surgery, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jeffrey Tyler, MD
Internal Medicine
NPI 1952357634
37638 E KNIERIEM RD
Corbett, OR 97019
(503) 939-6000
✔ PECOS✔ Accepts Medicare14 mi
Bret Ball, MD, PHD
Neurosurgery
NPI 1467547547
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare1,475 mi

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

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 Bret Gene Ball LLC's NPI number?

The NPI number for Bret Gene Ball LLC is 1790188258. It was assigned to this organization in the NPPES registry on September 29, 2014. The provider is doing business as Rose City Spine Surgery.

Where is Bret Gene Ball LLC located?

Bret Gene Ball LLC is located at 10000 SE Main St 318, Portland, OR 97216. The listed phone number is (503) 253-4000.

What is Bret Gene Ball LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bret Gene Ball LLC enrolled in Medicare?

Yes. Bret Gene Ball LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bret Gene Ball LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bret Gene Ball LLC, in Internal Medicine and Neurosurgery. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bret Gene Ball LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Bret Gene Ball LLC 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.

When was this NPI record last updated?

The NPPES record for Bret Gene Ball LLC was last updated on September 29, 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.