Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518595958 Individual Practitioner Male Practitioner

Dr. Tyler J. Etheridge , MD

Ophthalmology • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tyler Etheridge, MD is a certified Ophthalmology practicing in Portland, OR. With approximately 7 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2019, Dr. Etheridge delivers high-quality medical care to the local community at 9555 SW BARNES RD STE 100.

Dr. Etheridge is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection of drug into eye, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9555 Sw Barnes Rd Ste 100

Portland, OR 972256668

Telephone 5032272020
Associated Practice Facility / Clinic
🏢 Eye Health Northwest P.c. Facility NPI 1932433695

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Portland, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -10.9 yrs vs City Avg
City Avg: 17.9 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
141 Specialists

Practicing in Portland, OR (341 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Etheridge (7 Years) 7 Yrs
Portland Specialty Average (17.9 Years) 17.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
67028 Injection of drug into eye
57 49 $1647.51 $92.89
92134 Imaging of retina
46 41 $135.00 $23.32
99213 Established patient office or other outpatient visit, typically 15 minutes
42 35 $234.00 $61.22

Medical Specialties & State Licenses

CMS Verified: 2026-07-02
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OR MD229341

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License WI 83222-20

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License UT 12403679-1205

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

2880 University Ave, Madison, WI 537053644

Phone: 6082639339

Secondary Practice Locations

29250 Sw Town Center Loop W

Wilsonville, OR 970709477

Phone: 5035820000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Dr. Amy Tong , MD

Ophthalmology

NPI 1003235557

Doctor of Medicine (M.D.)

NPI 1043694664

Doctor of Medicine (M.D.)

NPI 1124042692

Doctor of Medicine (M.D.)

NPI 1144466541

Doctor of Optometry

NPI 1144491523

Doctor of Medicine (M.D.)

Dr. Aazy Aaby , MD

Ophthalmology

NPI 1164404232

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location July 02, 2026

Registered at 9555 SW BARNES RD STE 100, PORTLAND, OR 972256668 (Tel: 5032272020)

📍
Updated Business Mailing Address July 02, 2026

Registered at 9555 SW BARNES RD STE 100, PORTLAND, OR 972256668 (Tel: 5032272020)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2026

Ophthalmology (License #83222-20 in WI)

📍
Updated Practice Location June 06, 2024

Registered at 2880 UNIVERSITY AVE, MADISON, WI 537053644 (Tel: 6082637171)

📍
Updated Business Mailing Address June 06, 2024

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531 (Tel: 6082637171)

📍
Updated Practice Location September 20, 2021

Registered at 65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 841320005 (Tel: 8015856701)

📍
Updated Business Mailing Address September 20, 2021

Registered at 65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 841320005 (Tel: 8015856701)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2021

Ophthalmology (License #12403679-1205 in UT)

NPI Profile Active March 31, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2020

Registered at 515 E 100 S STE 200, SALT LAKE CITY, UT 841022095 (Tel: 8015812401)

📍
Updated Business Mailing Address March 31, 2020

Registered at 515 E 100 S STE 200, SALT LAKE CITY, UT 841022095 (Tel: 8015812401)

👤
Provider Name / Credentials Updated March 31, 2020

Recorded as TYLER ETHERIDGE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 31, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518595958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2020
Last Update: July 02, 2026
Sole Proprietor: No

Mailing Address

9555 Sw Barnes Rd Ste 100

Portland, OR 972256668

Phone: 5032272020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.