DR. BRANT DAVID WOMMACK MD
NPI 1023164613
Radiology - Diagnostic Radiology in Bend, OR

Q: What is Brant Wommack's NPI number?

The NPI number for Brant Wommack is 1023164613. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Brant Wommack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Brant Wommack was last updated on March 2, 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.

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment

1460 NE MEDICAL CTR DR, BEND, OR 97701(541) 382-6633(541) 382-2719 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2023, Oct 20, 2020 (2 updates tracked since 2020).

On this page

About Dr. Brant David Wommack Md NPPES

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

DR. BRANT DAVID WOMMACK MD (NPI 1023164613) is an individual diagnostic radiology provider in Bend, Oregon, licensed in Oregon (MD151046) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of University Of Louisville School Of Medicine (2004).

NPPES Registry Identity

NPI1023164613

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. BRANT DAVID WOMMACKCredential: MD

Location Address1460 NE MEDICAL CTR DRBend, OR 97701-6061

Mailing Address1460 Ne Medical Ctr DrBend, OR 97701-6061 · (541) 382-6633 · Fax (541) 382-2719

Phone(541) 382-6633

Fax(541) 382-2719

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2004

Enumeration DateJanuary 26, 2007

Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration

NPPES CertifiedMarch 2, 2023

✔ NPI 1023164613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in OR · MD151046

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1460 NE MEDICAL CTR DR, Bend, OR 97701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brant David Wommack 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 ID7911050877

PECOS Enrollment IDI20101025001081

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.

Medicare Billing Reassignments

Medicare enrollment records show Brant Wommack reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Oregon Magnetic Resonance Imaging LLC

Same address

Diagnostic Radiology

1460 NE MEDICAL CENTER DR
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
46 clinicians in this Medicare group

NPI 1114972155 (541) 598-3218

Cascade Medical Imaging LLC

Same address

Diagnostic Radiology

1460 NE MEDICAL CENTER DR
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
46 clinicians in this Medicare group

NPI 1396790499 (541) 598-3218

Central Oregon Radiology Assoc PC

Same address

Diagnostic Radiology

1460 NE MEDICAL CENTER DR
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
46 clinicians in this Medicare group

NPI 1477590081 (541) 382-6633

Bend Memorial Clinic PC

Same address

Family Medicine

1501 NE MEDICAL CENTER DR
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
317 clinicians in this Medicare group

NPI 1699827477 (541) 382-2811

St. Charles Health System, Inc.

0.3 mi

Family Medicine

2500 NE NEFF RD
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
348 clinicians in this Medicare group

NPI 1023331303 (541) 382-4321

Sky Lakes Medical Center Inc

128 mi

General Acute Care Hospital

2865 DAGGETT AVE
Klamath Falls, OR 97601

Reassigned Medicare billing, Oregon enrollment
355 clinicians in this Medicare group

NPI 1659340370 (541) 274-6221

Lake Health District

138 mi

Critical Access

700 S J ST
Lakeview, OR 97630

Reassigned Medicare billing, Oregon enrollment
58 clinicians in this Medicare group

NPI 1376698522 (541) 947-2114

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

Areas of Expertise CMS Part B claims 55

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.

Injection, gadobutrol, 0.1 ml A9585

Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.

1,475 services17 patients

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

1,382 services15 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

555 services329 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

550 services325 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

203 services117 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

176 services97 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

135 services77 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

124 services121 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

123 services119 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

120 services75 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

98 services98 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

90 services45 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

80 services57 patients

Dxa bone density measurement of forearm, finger, hand, or foot 77081

A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.

78 services39 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

71 services43 patients

X-ray of chest, 2 views 71046

65 services63 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

65 services45 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

54 services32 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

52 services51 patients

Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085

A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.

48 services24 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

40 services40 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

38 services32 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

36 services24 patients

Screening 3d breast mammography 77063

36 services36 patients

Screening mammography 77067

36 services36 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

32 services32 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

28 services27 patients

Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging 78830

A nuclear medicine study with SPECT and concurrent CT scan is a special imaging test. It uses a small amount of radioactive substance and advanced imaging techniques to create detailed pictures of your internal body structures. It aids in diagnosing and tracking the progress of treatment for various diseases.

28 services16 patients

Ct scan of abdomen and pelvis with contrast 74177

27 services16 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

26 services15 patients

Mri scan of arm joint without contrast 73221

26 services24 patients

X-ray of hip, 2-3 views 73502

26 services26 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

21 services18 patients

Mri scan of leg joint without contrast 73721

21 services21 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

20 services20 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

20 services20 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

20 services12 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

20 services20 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

19 services19 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

19 services17 patients

Dxa bone density measurement of hip, pelvis, spine 77080

19 services19 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

18 services16 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

17 services17 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

17 services16 patients

X-ray of knee, 3 views 73562

17 services13 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

17 services13 patients

Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries A9503

Technetium Tc-99m Medronate is a diagnostic procedure that uses a small amount of radioactive material to examine the health of your bones. It helps to detect bone diseases or abnormalities. The procedure is safe, with the radioactive substance naturally leaving your body after the test.

17 services17 patients

Mri scan of lower spinal canal without contrast 72148

16 services16 patients

Ct scan of chest with contrast 71260

15 services15 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

15 services11 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

14 services14 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

14 services11 patients

X-ray of foot, minimum of 3 views 73630

13 services11 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

12 services12 patients

Limited ultrasound scan of pelvis 76857

A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

Blue Mountain Hospital

Critical Access Hospitals · John Day, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381305

Location170 Ford RoadJohn Day, OR 97845 · Grant County

Emergency services

Wallowa Memorial Hospital

Critical Access Hospitals · Enterprise, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381306

Location601 Medical ParkwayEnterprise, OR 97828 · Wallowa County

Emergency services Birthing friendly

Harney District Hospital

Critical Access Hospitals · Burns, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381307

Location557 W Washington StreetBurns, OR 97720 · Harney County

Emergency services

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381313

Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

96%316 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

100%66 patients

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.

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 Brant Wommack's NPI number?

The NPI number for Brant Wommack is 1023164613. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Brant Wommack located?

Brant Wommack practices at 1460 NE Medical Ctr Dr, Bend, OR 97701. The listed phone number is (541) 382-6633.

What is Brant Wommack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Brant Wommack enrolled in Medicare?

Yes. Brant Wommack 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.

Which organizations bill Medicare for Brant Wommack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brant Wommack reassigns Medicare benefits to 7 organizations: Central Oregon Magnetic Resonance Imaging LLC (Bend, OR), Cascade Medical Imaging LLC (Bend, OR), Central Oregon Radiology Assoc PC (Bend, OR), Bend Memorial Clinic PC (Bend, OR), St. Charles Health System, Inc. (Bend, OR) and 2 more organizations, listed in the Medicare section above. Each 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 Brant Wommack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brant Wommack affiliated with any hospitals?

According to CMS data, Brant Wommack is affiliated with St Charles Medical Center - Bend, Blue Mountain Hospital, Wallowa Memorial Hospital, Harney District Hospital and St Charles Medical Center Prineville.

When was this NPI record last updated?

The NPPES record for Brant Wommack was last updated on March 2, 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.