MR. ROBERT WILLIAM DOLAN PA-C
NPI 1508400979
Physician Assistant - Surgical in Bend, OR

Q: What is Robert Dolan's NPI number?

The NPI number for Robert Dolan is 1508400979. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Q: What is Robert Dolan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Robert Dolan was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 29, 2019PECOS EnrolledAccepts Medicare Assignment

2200 NE NEFF RD STE 200, BEND, OR 97701(541) 382-3344(541) 382-1681 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Dec 2, 2019, Oct 29, 2019 (3 updates tracked since 2019).

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About Mr. Robert William Dolan Pa-c NPPES

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

MR. ROBERT WILLIAM DOLAN PA-C (NPI 1508400979) is an individual surgical provider in Bend, Oregon, licensed in Oregon (PA192557) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1508400979

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. ROBERT WILLIAM DOLANCredential: PA-C

Location Address2200 NE NEFF RD STE 200Bend, OR 97701-4281

Mailing Address1600 State StSalem, OR 97301-4257 · (503) 540-6400 · Fax (503) 540-6404

Phone(541) 382-3344

Fax(541) 382-1681

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 29, 2019

Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1508400979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OR · PA192557

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA192557 (OR)

2200 NE NEFF RD STE 200, Bend, OR 97701

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Secondary Practice Location 1

Location 11600 State StSalem, OR 97301-4257 · Phone (503) 540-6400 · Fax (503) 540-6404

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Robert William Dolan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153757869

PECOS Enrollment IDI20200128002146

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services18 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

14 services14 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

12 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

Salem Hospital

Acute Care Hospitals · Salem, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380051

Location890 Oak Street, SESalem, OR 97301 · Marion County

Emergency services Birthing friendly

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381313

Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County

Emergency services

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.

DR. MATTHEW RAYMOND LILLEY MD

Orthopaedic Surgery