KATHLEEN C ANTOLAK M.D.
NPI 1316975741
Family Medicine in Bend, OR

Q: What is Kathleen Antolak's NPI number?

The NPI number for Kathleen Antolak is 1316975741. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Kathleen Antolak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Antolak was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 28, 2006PECOS Enrolled

1501 NE MEDICAL CENTER DR, BEND, OR 97701(541) 382-2811 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2021, Apr 4, 2019 (2 updates tracked since 2019).

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About Kathleen C Antolak M.d. NPPES

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

KATHLEEN C ANTOLAK M.D. (NPI 1316975741) is an individual family medicine provider in Bend, Oregon, licensed in Oregon (MD23421) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316975741

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATHLEEN C ANTOLAKCredential: M.D.

Location Address1501 NE MEDICAL CENTER DRBend, OR 97701-6051

Mailing Address1501 Ne Medical Center DrBend, OR 97701-6051 · (541) 382-2811

Phone(541) 382-2811

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2021

✔ NPI 1316975741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD23421

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.

Also ListedSpecialistTaxonomy 174400000X · License MD23421 (OR)

1501 NE MEDICAL CENTER DR, Bend, OR 97701

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Other Identifiers 2

Medicaid287220OR

Other00479094OR · Railroad

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen C Antolak 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 97701 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

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

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 20

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

JONATHAN ANDREW MCFADYEN NP

Nurse Practitioner