PHYSICIAN MANAGEMENT SERVICES OF OREGON, LLC
NPI 1083236442
Family Medicine in Madras, OR

Active since May 08, 2020
76 NE 12TH ST, MADRAS, OR 97741(888) 829-8550 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2026, May 21, 2026, May 8, 2020 (3 updates tracked since 2020).

About Physician Management Services Of Oregon, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF OREGON, LLC (NPI 1083236442) is a healthcare organization registered as a family medicine in Madras, Oregon and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Springfield and lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1083236442
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF OREGON, LLC
Location Address76 NE 12TH STMadras, OR 97741-1827
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateMay 8, 2020
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1083236442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
76 NE 12TH ST, Madras, OR 97741

Secondary Practice Location 1

Location 11800 Centennial BlvdSpringfield, OR 97477-4379 · Phone (888) 829-8550

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physician Management Services Of Oregon, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Physician Management Services Of Oregon, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1417900317
76 NE 12TH ST
Madras, OR 97741
(541) 475-3874
✔ PECOS✔ Accepts MedicareSame address

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 Physician Management Services Of Oregon, LLC's NPI number?

The NPI number for Physician Management Services Of Oregon, LLC is 1083236442. It was assigned to this organization in the NPPES registry on May 8, 2020.

Where is Physician Management Services Of Oregon, LLC located?

Physician Management Services Of Oregon, LLC is located at 76 NE 12th St, Madras, OR 97741. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Oregon, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Physician Management Services Of Oregon, LLC enrolled in Medicare?

Yes. Physician Management Services Of Oregon, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physician Management Services Of Oregon, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Physician Management Services Of Oregon, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Physician Management Services Of Oregon, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Physician Management Services Of Oregon, 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 Physician Management Services Of Oregon, LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.