MR. REGAN WILLIAM POLK PA-C
NPI 1407546294
Physician Assistant - Surgical in Bend, OR

NPI Status: Active since May 15, 2023

Contact Information

2200 NE NEFF RD STE 200
BEND, OR
ZIP 97701
Phone: (541) 382-3344
Fax: (541) 382-1681

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  • Individual
  • Male
  • Years of Experience 3
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About REGAN POLK

This page provides the complete NPI Profile along with additional information for Regan Polk, a provider established in Bend, Oregon with a medical specialization in Physician Assistant, focusing in surgical and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1407546294 assigned on May 2023. The practitioner's primary taxonomy code is 363AS0400X with license number PA218998 (OR). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1407546294
Provider Name
MR. REGAN WILLIAM POLK PA-C
Gender
Male
Entity Type
Individual
Location Address
2200 NE NEFF RD STE 200 BEND, OR 97701
Location Phone
(541) 382-3344
Location Fax
(541) 382-1681
Mailing Address
2200 NE NEFF RD STE 200 BEND, OR 97701
Mailing Phone
(541) 382-3344
Mailing Fax
(541) 382-1681
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
05-15-2023
Last Update Date
02-27-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA218998
License State
OR

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Regan Polk is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Regan Polk is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6204274533

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240405002127

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Regan Polk is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST CHARLES MEDICAL CENTER - BEND2500 NE NEFF ROAD
BEND, OR 97701
(541) 382-4321Acute Care Hospitals

Reviews for MR. REGAN WILLIAM POLK PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407546294, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 0 + 4 + 1 + 2 + 2 + 1 + 8 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1407546294.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
2200 NE NEFF RD STE 200
BEND, OR 97701
Orthopaedic Surgery
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant (Surgical)
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant
2200 NE NEFF RD STE 200
BEND, OR 97701
Specialist/Technologist (Athletic Trainer)
2200 NE NEFF RD STE 200
BEND, OR 97701
Orthopaedic Surgery (Sports Medicine)
2200 NE NEFF RD STE 200
BEND, OR 97701
Specialist/Technologist (Athletic Trainer)
2200 NE NEFF RD STE 200
BEND, OR 97701
Orthopaedic Surgery
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant
2200 NE NEFF RD STE 200
BEND, OR 97701
Radiology (Diagnostic Radiology)
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant (Medical)
2200 NE NEFF RD STE 200
BEND, OR 97701
Orthopaedic Surgery
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant (Surgical)
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant (Surgical)
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant (Surgical)
2200 NE NEFF RD STE 200
BEND, OR 97701
Nurse Practitioner
2200 NE NEFF RD STE 200
BEND, OR 97701
Orthopaedic Surgery
2200 NE NEFF RD STE 200
BEND, OR 97701
Orthopaedic Surgery (Hand Surgery)
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant (Surgical)
2200 NE NEFF RD STE 200
BEND, OR 97701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407546294, enumerated as an "individual" on May 15, 2023.

The provider is located at 2200 NE NEFF RD STE 200 BEND, OR 97701 and the phone number is (541) 382-3344.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.

Regan Polk is affiliated with: ST CHARLES MEDICAL CENTER - BEND.