ETOSHA C FEGAN OD
NPI 1275996894
Optometrist in Bend, OR
About Etosha C Fegan Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETOSHA C FEGAN OD (NPI 1275996894) is an individual optometrist in Bend, Oregon, licensed in Oregon (4311-ATI) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Pine, and is a graduate of Pacific University - College Of Optometry (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Etosha C Fegan Od 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
3Medicare enrollment records show Etosha Fegan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bend, OR 97702
- Reassigned Medicare billing, Oregon enrollment
- 3 clinicians in this Medicare group
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 13 clinicians in this Medicare group
La Pine, OR 97739
- Reassigned Medicare billing, Oregon enrollment
- 2 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Etosha Fegan's NPI number?
The NPI number for Etosha Fegan is 1275996894. It was assigned to this individual provider in the NPPES registry on March 31, 2016.
Where is Etosha Fegan located?
Etosha Fegan practices at 143 SW Shevlin Hixon Dr Ste 101, Bend, OR 97702. The listed phone number is (541) 317-9747.
What is Etosha Fegan's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Etosha Fegan enrolled in Medicare?
Yes. Etosha Fegan 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 Etosha Fegan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Etosha Fegan reassigns Medicare benefits to 3 organizations: Patrick Ayres, Od, PC (Bend, OR), Central Oregon Eyecare, PC (Bend, OR) and Graham A Balcer, Od, PC (La Pine, OR). 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 Etosha Fegan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Etosha Fegan accept?
Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Etosha Fegan 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 Etosha Fegan was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Etosha C Fegan, OD · NPI 1275996894
Optometrist provider in Bend, Oregon. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1275996894 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4311-ATI (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 143 SW SHEVLIN HIXON DR STE 101, Bend, OR 97702-3189
- **Phone:** (541) 317-9747
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Patrick Ayres, Od, PC (NPI 1619152485, Bend, OR); Central Oregon Eyecare, PC (NPI 1912389511, Bend, OR); Graham A Balcer, Od, PC (NPI 1881828135, La Pine, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2017
## Record status
- **NPPES last updated:** November 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1275996894) · Data from the CMS NPPES public registry.