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MR. PEYTON MICHAEL RONDEAU RD
NPI 1710711452
Dietitian, Registered in Roseburg, OR

Active since August 27, 2024Accepts Medicare Assignment
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471(541) 672-8533 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Peyton Michael Rondeau Rd NPPES

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

MR. PEYTON MICHAEL RONDEAU RD (NPI 1710711452) is an individual dietitian, registered in Roseburg, Oregon, licensed in Oregon (86276031) and active in the NPI registry since August 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1710711452
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMR. PEYTON MICHAEL RONDEAUCredential: RD
Location Address2589 NW EDENBOWER BLVDRoseburg, OR 97471-6224
Mailing Address2589 Nw Edenbower BlvdRoseburg, OR 97471-6224 · (541) 672-8533
Phone(541) 672-8533
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1710711452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OR · 86276031
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2589 NW EDENBOWER BLVD, Roseburg, OR 97471
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Peyton Michael Rondeau Rd 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 ID1759822513
PECOS Enrollment IDI20240919002524

Medicare Billing Reassignment

Medicare enrollment records show Peyton Rondeau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cow Creek Band Of Umpqua Tribe Of Indians
Same address
Federally Qualified Health Center (FQHC)
2589 NW EDENBOWER BLVD
Roseburg, OR 97471
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
NPI 1063502714 (541) 672-8533

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
Clinic/Center (Federally Qualified Health Center (FQHC))
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 672-8533
CARLY BLEMMEL MSHR. LPC
Counselor (Professional)
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 839-1345
MR. JERRY ROBERT SMEAD R.PH.
Pharmacist (Pharmacotherapy)
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 677-4334
KATHERINE E LADD
Health and Wellness Coach
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 492-5267
MRS. PATRICIA ELIZABETH OCHS
Health and Wellness Coach
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 672-8533
MS. KIMBERLY ANN TALLEY APRN
Nurse Practitioner (Family)
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 529-9190
COW CREEK HEALTH AND WELLNESS PHARMACY
Pharmacist
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 672-8533
HANNAH CORBETT
Health and Wellness Coach
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 672-8533

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 Peyton Rondeau's NPI number?

The NPI number for Peyton Rondeau is 1710711452. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Peyton Rondeau located?

Peyton Rondeau practices at 2589 NW Edenbower Blvd, Roseburg, OR 97471. The listed phone number is (541) 672-8533.

What is Peyton Rondeau's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Peyton Rondeau enrolled in Medicare?

Yes. Peyton Rondeau 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.

Which organization bills Medicare for Peyton Rondeau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peyton Rondeau reassigns Medicare benefits to Cow Creek Band Of Umpqua Tribe Of Indians (Roseburg, OR). The 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 Peyton Rondeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peyton Rondeau accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Peyton Rondeau 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 Peyton Rondeau was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.