SUMMIT HEALTH
NPI 1699827477
Family Medicine in Bend, OR
About Summit Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT HEALTH (NPI 1699827477) is a healthcare organization registered as a family medicine in Bend, Oregon and active in the NPI registry since January 2007. The organization holds 5 active CLIA laboratory certificates and lists Jessie Dover, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
315Medicare enrollment records show 315 clinicians reassign Medicare billing to Summit Health, which bills Medicare for the services they deliver. Of these, 127 practice at this address and 227 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 42
Nearest to this location (20)
See all 315Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 5
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 38D0628274
Summit Health City MD + Bend Memorial Clinic · Bend, ORCertificate of Waiver 38D2302327
Summit Health Redmond Specialty Clinic · Redmond, ORCertificate for Provider-Performed Microscopy Procedures (PPMP) 38D0673693
Summit Health City MD + Bend Memorial Clinic Sisters · Sisters, ORCertificate for Provider-Performed Microscopy Procedures (PPMP) 38D0882153
Summit Health Urology Bend · Bend, ORCertificate of Compliance 38D1050474
Summit Health City MD + Bend Memorial Clinic Omd · Bend, ORFrequently 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 Bend Memorial Clinic PC's NPI number?
The NPI number for Bend Memorial Clinic PC is 1699827477. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Summit Health.
Where is Bend Memorial Clinic PC located?
Bend Memorial Clinic PC is located at 1501 NE Medical Center Dr, Bend, OR 97701. The listed phone number is (541) 382-2811.
What is Bend Memorial Clinic PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bend Memorial Clinic PC enrolled in Medicare?
Yes. Bend Memorial Clinic PC is registered in the Medicare PECOS enrollment system.
When is Bend Memorial Clinic PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bend Memorial Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 315 clinicians in 42 Medicare specialties reassign their Medicare billing to Bend Memorial Clinic PC. 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. The largest specialties are Nurse Practitioner (56), Diagnostic Radiology (55) and Family Practice (32). Of these, 127 practice at this address and 227 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bend Memorial Clinic PC hold CLIA laboratory certificates?
Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Bend Memorial Clinic PC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Bend Memorial Clinic PC 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 Bend Memorial Clinic PC was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Summit Health · NPI 1699827477
Family Medicine organization in Bend, Oregon. Organization record, active in the CMS NPPES registry since January 18, 2007.
## Identity
- **NPI:** 1699827477 (Entity type: Organization)
- **Enumerated:** January 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Bend Memorial Clinic Pc
- **Organization subpart:** No
- **Authorized official:** Jessie Dover, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 1501 NE MEDICAL CENTER DR, Bend, OR 97701-6051
- **Phone:** (541) 382-2811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 315 clinicians in 42 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (56), Diagnostic Radiology (55), Family Practice (32); 127 practice at this address and 227 within 10 miles; [full list](https://npiprofile.com/npi/1699827477/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2023
- **Other identifiers:** Medicaid 213243 (OR)
- **CLIA laboratory certificates:** 5 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699827477) · Data from the CMS NPPES public registry.