Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KEITH EDWARD KRUEGER DMD
NPI 1720044126
Dentist - Oral and Maxillofacial Pathology in Bend, OR

Active since April 25, 2006Opted out of Medicare · through Aug 26, 2026
1475 SW CHANDLER AVE, SUITE 101, BEND, OR 97702(541) 617-3993(541) 617-0030 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Keith Edward Krueger Dmd NPPES

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

DR. KEITH EDWARD KRUEGER DMD (NPI 1720044126) is an individual oral and maxillofacial pathology provider in Bend, Oregon, licensed in Oregon (D6629) and active in the NPI registry since April 2006. He has opted out of Medicare through August 26, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720044126
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. KEITH EDWARD KRUEGERCredential: DMD
Location Address1475 SW CHANDLER AVE, SUITE 101Bend, OR 97702-3238
Mailing Address1475 Sw Chandler Ave, Suite 101Bend, OR 97702-3238 · (541) 617-3993 · Fax (541) 617-0030
Fax(541) 617-0030
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1720044126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in OR · D6629
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

1475 SW CHANDLER AVE, Bend, OR 97702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Keith Edward Krueger Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2014 through August 26, 2026.

Opt-Out Effective DateAugust 26, 2014
Opt-Out In Effect ThroughAugust 26, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97702 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 4

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

Clinic/Center (Dental)
1475 SW CHANDLER AVE, SUITE 202
BEND, OR 97702
Dentist (Oral and Maxillofacial Surgery)
1475 SW CHANDLER AVE, SUITE 101
BEND, OR 97702
Dentist
1475 SW CHANDLER AVE, SUITE 201
BEND, OR 97702
Dentist (Pediatric Dentistry)
1475 SW CHANDLER AVE, STE 202
BEND, OR 97702

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 Keith Krueger's NPI number?

The NPI number for Keith Krueger is 1720044126. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Keith Krueger located?

Keith Krueger practices at 1475 SW Chandler Ave Suite 101, Bend, OR 97702. The listed phone number is (541) 617-3993.

What is Keith Krueger's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Keith Krueger enrolled in Medicare?

No. Keith Krueger has opted out of Medicare through August 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Keith Krueger was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.