HIGH DESERT SPORTS AND SPINE, LLC
NPI 1073376695
Anesthesiology - Pain Medicine in Bend, OR

Q: What is High Desert Sports And Spine, LLC's NPI number?

The NPI number for High Desert Sports And Spine, LLC is 1073376695. It was assigned to this organization in the NPPES registry on February 5, 2024.

Q: What is High Desert Sports And Spine, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since February 05, 2024

1140 SW SIMPSON AVE STE 100, BEND, OR 97702(541) 388-2333(541) 388-0930 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2026, Feb 5, 2024 (2 updates tracked since 2024).

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About High Desert Sports And Spine, Llc NPPES

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

HIGH DESERT SPORTS AND SPINE, LLC (NPI 1073376695) is a healthcare organization registered as a pain medicine in Bend, Oregon and active in the NPI registry since February 2024. The organization lists Edward Joseph Kent, Owner, as its authorized official.

NPPES Registry Identity

NPI1073376695

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameHIGH DESERT SPORTS AND SPINE, LLC

Location Address1140 SW SIMPSON AVE STE 100Bend, OR 97702-3789

Mailing Address1140 Sw Simpson Ave Ste 100Bend, OR 97702-3789 · (541) 388-2333 · Fax (541) 388-0930

Phone(541) 388-2333

Fax(541) 388-0930

Organization SubpartNo

Authorized OfficialEdward Joseph KentOwner · (208) 500-8667

Enumeration DateFebruary 5, 2024

Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1073376695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

1140 SW SIMPSON AVE STE 100, Bend, OR 97702

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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)

High Desert Sports And Spine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to High Desert Sports And Spine, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Keegan Mcclary, MD

Physical Medicine and Rehabilitation

NPI 1578983300

1140 SW SIMPSON AVE STE 100
Bend, OR 97702

(541) 388-2333

✔ PECOS✔ Accepts MedicareSame address

Edward Kent, MD

Anesthesiology

NPI 1457766040

1140 SW SIMPSON AVE
Bend, OR 97702

(541) 388-2333

✔ PECOS✔ Accepts MedicareSame address

Mark Goodman, M.D.

Emergency Medicine

NPI 1609018860

1140 SW SIMPSON AVE STE 100
Bend, OR 97702

(541) 388-2333

✔ PECOS✔ Accepts MedicareSame address

Jon Swift, D.O.

Physical Medicine and Rehabilitation

NPI 1780649079

1303 NE CUSHING DR SUITE 100
Bend, OR 97701

(541) 330-8226

✔ PECOS✔ Accepts Medicare3.3 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 High Desert Sports And Spine, LLC's NPI number?

The NPI number for High Desert Sports And Spine, LLC is 1073376695. It was assigned to this organization in the NPPES registry on February 5, 2024.

Where is High Desert Sports And Spine, LLC located?

High Desert Sports And Spine, LLC is located at 1140 SW Simpson Ave Ste 100, Bend, OR 97702. The listed phone number is (541) 388-2333.

What is High Desert Sports And Spine, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is High Desert Sports And Spine, LLC enrolled in Medicare?

Yes. High Desert Sports And Spine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through High Desert Sports And Spine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to High Desert Sports And Spine, LLC, in Anesthesiology, Emergency Medicine and Physical Medicine and Rehabilitation. 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does High Desert Sports And Spine, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list High Desert Sports And Spine, 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 High Desert Sports And Spine, LLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.