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JOSHUA TESULOV
NPI 1619710514
Physician Assistant in Bend, OR

Active since June 17, 2024PECOS EnrolledAccepts Medicare Assignment
2200 NE NEFF RD STE 200, BEND, OR 97701(541) 382-3344 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Sep 16, 2025, Jun 17, 2024 (3 updates tracked since 2024).

About Joshua Tesulov NPPES

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

JOSHUA TESULOV (NPI 1619710514) is an individual physician assistant in Bend, Oregon and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Pacific Medical College (2025).

NPPES Registry Identity

NPI1619710514
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSHUA TESULOV
Location Address2200 NE NEFF RD STE 200Bend, OR 97701-4281
Mailing Address36334 Se Rickert RdCorbett, OR 97019-9761
Phone(541) 382-3344
Sole ProprietorNo
Medical School CMSPacific Medical CollegeGraduated 2025
Enumeration DateJune 17, 2024
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1619710514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2200 NE NEFF RD STE 200, Bend, OR 97701
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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

Joshua Tesulov 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 ID8527552892
PECOS Enrollment IDI20251214000094
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.

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
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
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.

DR. MATTHEW RAYMOND LILLEY MD
Orthopaedic Surgery
2200 NE NEFF RD STE 200
BEND, OR 97701
Deschutes County (541) 382-3344
CENTRAL OREGON MAGNETIC RESONANCE IMAGING LLC
Radiology (Diagnostic Radiology)
2200 NE NEFF RD STE 200
BEND, OR 97701
Deschutes County (541) 382-6633
RACHEL KOSEK
Physician Assistant
2200 NE NEFF RD STE 200
BEND, OR 97701
Deschutes County (541) 382-3344
MISS CHRISTINE GOODALL PA-C
Physician Assistant (Surgical)
2200 NE NEFF RD STE 200
BEND, OR 97701
Deschutes County (541) 382-3344
JAMES O NELSON MD
Physical Medicine & Rehabilitation
2200 NE NEFF RD STE 200
BEND, OR 97701
Deschutes County (541) 382-3344
WILLIAM J CORRIGAN PA-C
Physician Assistant
2200 NE NEFF RD STE 200
BEND, OR 97701
Deschutes County (541) 382-3344
DR. BRETT I GINGOLD MD
Orthopaedic Surgery (Sports Medicine)
2200 NE NEFF RD STE 200
BEND, OR 97701
Deschutes County (541) 382-3344
GLENN M WULF PA-C
Physician Assistant
2200 NE NEFF RD STE 200
BEND, OR 97701
Deschutes County (541) 382-3344

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 Joshua Tesulov's NPI number?

The NPI number for Joshua Tesulov is 1619710514. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Joshua Tesulov located?

Joshua Tesulov practices at 2200 NE Neff Rd Ste 200, Bend, OR 97701. The listed phone number is (541) 382-3344.

What is Joshua Tesulov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joshua Tesulov enrolled in Medicare?

Yes. Joshua Tesulov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joshua Tesulov was last updated on April 7, 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.