JOURDAN ARISS CARBOY MD
NPI 1174027783
Surgery - Plastic and Reconstructive Surgery in Bend, OR
About Jourdan Ariss Carboy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOURDAN ARISS CARBOY MD (NPI 1174027783) is an individual plastic and reconstructive surgery provider in Bend, Oregon, licensed in Oregon (MD221885) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Oregon Health Sciences University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jourdan Ariss Carboy 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.
Medicare Billing Reassignments
5Medicare enrollment records show Jourdan Carboy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
Clanton, AL 35045
- Reassigned Medicare billing, Alabama enrollment
- 160 clinicians in this Medicare group
Deatsville, AL 36022
- Reassigned Medicare billing, Alabama enrollment
- 182 clinicians in this Medicare group
Wetumpka, AL 36093
- Reassigned Medicare billing, Alabama enrollment
- 158 clinicians in this Medicare group
Dadeville, AL 36853
- Reassigned Medicare billing, Alabama enrollment
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
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, OROther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEND, OR 97701
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 Jourdan Carboy's NPI number?
The NPI number for Jourdan Carboy is 1174027783. It was assigned to this individual provider in the NPPES registry on March 19, 2018.
Where is Jourdan Carboy located?
Jourdan Carboy practices at 2275 NE Doctors Dr Ste 1, Bend, OR 97701. The listed phone number is (541) 762-0262.
What is Jourdan Carboy's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Jourdan Carboy enrolled in Medicare?
Yes. Jourdan Carboy 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 Jourdan Carboy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jourdan Carboy reassigns Medicare benefits to 5 organizations: Alpenaura Plastic Surgery (Bend, OR), Chilton Family Care, LLC (Clanton, AL), Ivy Creek Of Elmore, LLC (Deatsville, AL), Wetumpka Urgent Care LLC (Wetumpka, AL) and Ivy Creek Of Tallapoosa (Dadeville, AL). 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 Jourdan Carboy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jourdan Carboy accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jourdan Carboy 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.
Is Jourdan Carboy affiliated with any hospitals?
According to CMS data, Jourdan Carboy is affiliated with St Charles Medical Center - Bend.
When was this NPI record last updated?
The NPPES record for Jourdan Carboy was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Jourdan Ariss Carboy, MD · NPI 1174027783
Plastic and Reconstructive Surgery physician in Bend, Oregon. Individual provider, active in the CMS NPPES registry since March 19, 2018.
## Identity
- **NPI:** 1174027783 (Entity type: Individual)
- **Enumerated:** March 19, 2018
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** MD221885 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2275 NE DOCTORS DR STE 1, Bend, OR 97701-6324
- **Phone:** (541) 762-0262
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Alpenaura Plastic Surgery (NPI 1245058114, Bend, OR); Chilton Family Care, LLC (NPI 1366857674, Clanton, AL); Ivy Creek Of Elmore, LLC (NPI 1578060349, Deatsville, AL); Wetumpka Urgent Care LLC (NPI 1194057554, Wetumpka, AL); Ivy Creek Of Tallapoosa (NPI 1720273303, Dadeville, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** February 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174027783) · Data from the CMS NPPES public registry.