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BROOKS W BOOKER IV MD
NPI 1376558429
Pediatrics in Bend, OR

Active since July 29, 2006PECOS Enrolled
2084 NE PROFESSIONAL CT, BEND, OR 97701(541) 383-3005(541) 383-1883 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2026, Jan 29, 2021 (2 updates tracked since 2021).

About Brooks W Booker Iv Md NPPES

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

BROOKS W BOOKER IV MD (NPI 1376558429) is an individual pediatrics provider in Bend, Oregon, licensed in Oregon (MD167654) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376558429
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBROOKS W BOOKER IVCredential: MD
Location Address2084 NE PROFESSIONAL CTBend, OR 97701-6077
Mailing AddressPo Box 4228Portland, OR 97208-4228 · (541) 617-5369 · Fax (541) 323-3866
Phone(541) 383-3005
Fax(541) 383-1883
Sole ProprietorNo
Enumeration DateJuly 29, 2006
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1376558429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD167654
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2084 NE PROFESSIONAL CT, Bend, OR 97701
Open in Google Maps ↗

Other Identifiers 2

Other11057533OR · Caqh
Medicaid500672815OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooks W Booker Iv Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brooks Booker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bend Memorial Clinic PC
0.2 mi
Family Medicine
1501 NE MEDICAL CENTER DR
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 317 clinicians in this Medicare group
NPI 1699827477 (541) 382-2811
Mosaic Community Health
27 mi
Federally Qualified Health Center (FQHC)
375 NW BEAVER ST STE 101
Prineville, OR 97754
  • Reassigned Medicare billing, Oregon enrollment
  • 102 clinicians in this Medicare group
NPI 1083633184 (541) 447-0707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. HELEN SANDERSON RDH
Dental Hygienist
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 647-9574
MS. PAISLEY PIJUAN LCSW
Social Worker (Clinical)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
MARIA VELIZ
Interpreter
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
KEITH WILLIAM BELL PA
Physician Assistant
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
KATHERINE A BAUMANN MD
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
DR. ANDREA BATEMAN M.D.
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
CATHERINE KOTO D.D.S.
Dentist
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
MIRANDA ELIZABETH DAVIS DDS
Dentist (General Practice)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005

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 Brooks Booker's NPI number?

The NPI number for Brooks Booker is 1376558429. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Brooks Booker located?

Brooks Booker practices at 2084 NE Professional Ct, Bend, OR 97701. The listed phone number is (541) 383-3005.

What is Brooks Booker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brooks Booker enrolled in Medicare?

Yes. Brooks Booker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brooks Booker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooks Booker reassigns Medicare benefits to 2 organizations: Bend Memorial Clinic PC (Bend, OR) and Mosaic Community Health (Prineville, 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 Brooks Booker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooks Booker accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brooks Booker 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 Brooks Booker was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.