CENTRAL OREGON DERMATOLOGY, PC
NPI 1336307875
Clinic/Center in Bend, OR
About Central Oregon Dermatology, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL OREGON DERMATOLOGY, PC (NPI 1336307875) is a healthcare organization registered as a clinic/center in Bend, Oregon and active in the NPI registry since May 2008. The organization lists Jodi Haney, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Central Oregon Dermatology, Pc 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Central Oregon Dermatology, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 38D1085810
Central Oregon Dermatology PC · Bend, ORFrequently 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 Central Oregon Dermatology, PC's NPI number?
The NPI number for Central Oregon Dermatology, PC is 1336307875. It was assigned to this organization in the NPPES registry on May 31, 2008.
Where is Central Oregon Dermatology, PC located?
Central Oregon Dermatology, PC is located at 388 SW Bluff Dr, Bend, OR 97702. The listed phone number is (541) 678-0020.
What is Central Oregon Dermatology, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Central Oregon Dermatology, PC enrolled in Medicare?
Yes. Central Oregon Dermatology, PC is registered in the Medicare PECOS enrollment system.
When is Central Oregon Dermatology, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) 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 Central Oregon Dermatology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Central Oregon Dermatology, PC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Central Oregon Dermatology, PC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Central Oregon Dermatology, PC 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 Central Oregon Dermatology, PC was last updated on March 7, 2023. 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.
# Central Oregon Dermatology, Pc · NPI 1336307875
Clinic/Center organization in Bend, Oregon. Organization record, active in the CMS NPPES registry since May 31, 2008.
## Identity
- **NPI:** 1336307875 (Entity type: Organization)
- **Enumerated:** May 31, 2008
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jodi Haney, OFFICE MANAGER
## Practice location
- **Address:** 388 SW BLUFF DR, Bend, OR 97702-1360
- **Phone:** (541) 678-0020 · **Fax:** (541) 383-2174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other MD26648 (OR); Medicaid 241835 (OR); Other 1609815166 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336307875) · Data from the CMS NPPES public registry.