CENTRAL OREGON SPINE AND SPORTS, LLC
NPI 1497293054
Physical Medicine & Rehabilitation in Bend, OR
About Central Oregon Spine And Sports, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL OREGON SPINE AND SPORTS, LLC (NPI 1497293054) is a healthcare organization registered as a physical medicine & rehabilitation in Bend, Oregon and active in the NPI registry since February 2017. The organization lists Kimberly M Booher, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Oregon Spine And Sports, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Central Oregon Spine And Sports, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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.
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 Central Oregon Spine And Sports, LLC's NPI number?
The NPI number for Central Oregon Spine And Sports, LLC is 1497293054. It was assigned to this organization in the NPPES registry on February 3, 2017.
Where is Central Oregon Spine And Sports, LLC located?
Central Oregon Spine And Sports, LLC is located at 2115 NE Wyatt Ct Suite 101, Bend, OR 97701. The listed phone number is (541) 420-4833.
What is Central Oregon Spine And Sports, LLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Central Oregon Spine And Sports, LLC enrolled in Medicare?
Yes. Central Oregon Spine And Sports, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Oregon Spine And Sports, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Central Oregon Spine And Sports, LLC, in Interventional Pain Management and Sports Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Central Oregon Spine And Sports, LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Central Oregon Spine And Sports, LLC 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 Spine And Sports, LLC was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.