NORTHWEST FOOTCARE, LLC
NPI 1275545311
Podiatrist in Bend, OR
About Northwest Footcare, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST FOOTCARE, LLC (NPI 1275545311) is a healthcare organization registered as a podiatrist in Bend, Oregon and active in the NPI registry since August 2006. The organization lists Bryan D Wilhelm, Managing Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northwest Footcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Northwest Footcare, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Northwest Footcare, LLC's NPI number?
The NPI number for Northwest Footcare, LLC is 1275545311. It was assigned to this organization in the NPPES registry on August 13, 2006.
Where is Northwest Footcare, LLC located?
Northwest Footcare, LLC is located at 1693 SW Chandler Ave Ste 280, Bend, OR 97702. The listed phone number is (541) 385-7129.
What is Northwest Footcare, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Northwest Footcare, LLC enrolled in Medicare?
Yes. Northwest Footcare, LLC is registered in the Medicare PECOS enrollment system.
When is Northwest Footcare, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Physician - Podiatry) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northwest Footcare, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Podiatry, reassign their Medicare billing to Northwest Footcare, 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. Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northwest Footcare, LLC accept?
Health plans from Moda Health Plan, Inc. list Northwest Footcare, 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 Northwest Footcare, LLC was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Northwest Footcare, Llc · NPI 1275545311
Podiatrist organization in Bend, Oregon. Organization record, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1275545311 (Entity type: Organization)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Bryan Wilhelm, MANAGING PHYSICIAN
## Practice location
- **Address:** 1693 SW CHANDLER AVE, STE 280, Bend, OR 97702
- **Phone:** (541) 385-7129 · **Fax:** (541) 385-7138
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, Oregon, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2024
- **Other identifiers:** Other 865318000 (OR); Medicaid 213406 (OR); Other DD4584 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1275545311) · Data from the CMS NPPES public registry.