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

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: July 26, 2026.

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

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
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

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. 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.

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

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.

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 with the weekly NPPES data releases published by CMS.