Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PETER BRENT AMUNDSON D.M.D.
NPI 1073690889
Dentist - General Practice in Bend, OR

Q: What is Peter Amundson's NPI number?

The NPI number for Peter Amundson is 1073690889. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Peter Amundson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Peter Amundson was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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 November 01, 2006PECOS Enrolled

124 NW HAWTHORNE AVE, BEND, OR 97703(303) 521-2916(541) 389-2958 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Peter Brent Amundson D.m.d. NPPES

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

DR. PETER BRENT AMUNDSON D.M.D. (NPI 1073690889) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D12101) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073690889

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PETER BRENT AMUNDSONCredential: D.M.D.

Location Address124 NW HAWTHORNE AVEBend, OR 97703-2918

Mailing Address124 Nw Hawthorne AveBend, OR 97703-2918 · (303) 521-2916 · Fax (541) 389-2958

Phone(303) 521-2916

Fax(541) 389-2958

Sole ProprietorYes

Enumeration DateNovember 1, 2006

Last NPPES UpdateSeptember 14, 2026

NPPES CertifiedSeptember 14, 2026

✔ NPI 1073690889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D12101

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

124 NW HAWTHORNE AVE, Bend, OR 97703

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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 BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Brent Amundson D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97703 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT SMILE DENTAL OF BEND LLC

Dentist

124 NW HAWTHORNE AVE
BEND, OR 97703

Deschutes County (541) 389-1301

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 Peter Amundson's NPI number?

The NPI number for Peter Amundson is 1073690889. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Peter Amundson located?

Peter Amundson practices at 124 NW Hawthorne Ave, Bend, OR 97703. The listed phone number is (303) 521-2916.

What is Peter Amundson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peter Amundson enrolled in Medicare?

Yes. Peter Amundson is registered in the Medicare PECOS enrollment system.

What insurance does Peter Amundson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Peter Amundson 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 Peter Amundson was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.