TIMOTHY S BOLLOM MD
NPI 1639179930
Orthopaedic Surgery - Sports Medicine in Bend, OR

Q: What is Timothy Bollom's NPI number?

The NPI number for Timothy Bollom is 1639179930. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Timothy Bollom's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Bollom 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 July 28, 2005PECOS EnrolledAccepts Medicare Assignment

73.23/100

CMS Quality Rating

2200 NE NEFF RD, 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 02, 2026.

Record update history: Mar 4, 2025, Feb 25, 2025, May 9, 2022 (3 updates tracked since 2022).

On this page

About Timothy S Bollom Md NPPES

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

TIMOTHY S BOLLOM MD (NPI 1639179930) is an individual sports medicine provider in Bend, Oregon, licensed in Oregon (MD25128) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Bend.

NPPES Registry Identity

NPI1639179930

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameTIMOTHY S BOLLOMCredential: MD

Location Address2200 NE NEFF RDBend, OR 97701-4283

Mailing Address2200 Ne Neff Rd, Ste 200Bend, OR 97701-4283 · (541) 382-3344 · Fax (541) 382-1681

Phone(541) 382-3344

Fax(541) 382-1681

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1998

Enumeration DateJuly 28, 2005

Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1639179930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in OR · MD25128

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

2200 NE NEFF RD, Bend, OR 97701

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Secondary Practice Location 1

Location 12200 NE Neff Rd, Ste 200Bend, OR 97701-4283 · Phone (541) 382-3344 · Fax (541) 382-1681

Other Identifiers 2

Medicaid233192OR

OtherMD25128OR · Obme

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy S Bollom Md 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 ID9739071994

PECOS Enrollment IDI20040803001497

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 16

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

2,340 services26 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,186 services161 patients

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

752 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

324 services264 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

232 services162 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

229 services182 patients

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.

193 services162 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

181 services144 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

119 services99 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

87 services82 patients

Musculoskeletal surgical navigational orthopedic operation using imaging guidance 0055T

This is a precise orthopedic surgery using advanced imaging technology. It helps the surgeon navigate through your musculoskeletal system (bones, muscles, and joints) accurately. This method reduces the risk of damage to nearby areas and aids in a more successful operation.

76 services72 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

61 services61 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

55 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

49 services49 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

37 services37 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

37 services35 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

Blue Mountain Hospital

Critical Access Hospitals · John Day, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381305

Location170 Ford RoadJohn Day, OR 97845 · Grant County

Emergency services

Harney District Hospital

Critical Access Hospitals · Burns, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381307

Location557 W Washington StreetBurns, OR 97720 · Harney County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

51.36

Promoting Interoperability

Improvement Activities

Cost

83.57

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812

DME-Orthotic Devices · category DF011N

1 supplier11 claims11 services$65.35 avg. paid by Medicare

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

2 suppliers22 claims22 services$89.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MATTHEW JOSEPH KIRCHOFF P.T.

Physical Therapist

2200 NE NEFF RD, SUITE 202
BEND, OR 97701

Deschutes County (541) 388-7738

PETERSON PERFORMANCE PRODUCTS, INC.

Durable Medical Equipment & Medical Supplies

2200 NE NEFF RD, SUITE 307
BEND, OR 97701

Deschutes County (541) 617-1505

DAWN KIMBERLY MESKE P.T.

Physical Therapist

2200 NE NEFF RD, SUITE 202
BEND, OR 97701

Deschutes County (541) 388-7738

MS. WENDY L BENAGE ATC/R

Specialist

2200 NE NEFF RD, SUITE 2
BEND, OR 97701

Deschutes County (541) 408-7298

JEFF KATZ C.O.

Orthotist

2200 NE NEFF RD, SUITE 306
BEND, OR 97701

Deschutes County (541) 385-8884

LAURA SCHWENDIMAN TAYLOR P.T.

Physical Therapist

2200 NE NEFF RD, SUITE 202
BEND, OR 97701

Deschutes County (800) 219-8835

ANTOINETTE BROCKMAN O.T.

Physical Therapist

2200 NE NEFF RD, SUITE 202
BEND, OR 97701

Deschutes County (541) 388-7738

ST. CHARLES HEALTH SYSTEM, INC.

Durable Medical Equipment & Medical Supplies

2200 NE NEFF RD
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 Timothy Bollom's NPI number?

The NPI number for Timothy Bollom is 1639179930. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Timothy Bollom located?

Timothy Bollom practices at 2200 NE Neff Rd, Bend, OR 97701. The listed phone number is (541) 382-3344.

What is Timothy Bollom's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Timothy Bollom enrolled in Medicare?

Yes. Timothy Bollom 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.

What insurance does Timothy Bollom accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Timothy Bollom 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.

Is Timothy Bollom affiliated with any hospitals?

According to CMS data, Timothy Bollom is affiliated with St Charles Medical Center - Bend, Blue Mountain Hospital and Harney District Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Bollom 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.