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DR. MATTHEW TRAVIS MULLANE MD MPH
NPI 1720408479
Family Medicine in Bend, OR

Active since April 21, 2014PECOS Enrolled
711 NE IRVING AVE, BEND, OR 97701(541) 255-1530(541) 219-5356 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 31, 2026, Nov 21, 2023, Jan 9, 2023 and 6 more (9 updates tracked since 2017).

About Dr. Matthew Travis Mullane Md Mph NPPES

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

DR. MATTHEW TRAVIS MULLANE MD MPH (NPI 1720408479) is an individual family medicine provider in Bend, Oregon, licensed in Oregon (MD189798) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720408479
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW TRAVIS MULLANECredential: MD MPH
Location Address711 NE IRVING AVEBend, OR 97701-4738
Mailing Address62472 Quail Ridge RdBend, OR 97701-9553
Phone(541) 255-1530
Fax(541) 219-5356
Sole ProprietorNo
Enumeration DateApril 21, 2014
Last NPPES UpdateMarch 31, 20269 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1720408479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD189798✔ Licensed in CO · DR.0056225✔ Licensed in WA · MD61336231
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedIntegrative MedicineTaxonomy 202D00000X · License MD189798 (OR)
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License MD189798 (OR)
711 NE IRVING AVE, Bend, OR 97701
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11333 NW 9th StPrineville, OR 97754-1482 · Phone (541) 447-2631
Location 262472 Quail Ridge RdBend, OR 97701-9553 · Phone (541) 255-1530 · Fax (541) 219-5356

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 (PECOS)

Dr. Matthew Travis Mullane Md Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Matthew Mullane reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ritual Medical LLC
Same address
Family Medicine
711 NE IRVING AVE
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
NPI 1578283008 (541) 255-1530
Mosaic Community Health
28 mi
Federally Qualified Health Center (FQHC)
375 NW BEAVER ST STE 101
Prineville, OR 97754
  • Reassigned Medicare billing, Oregon enrollment
  • 102 clinicians in this Medicare group
NPI 1083633184 (541) 447-0707
Live Life Now Health Group PA
2,397 mi
Addiction Medicine
26 LEWIS ST # 2
Yonkers, NY 10703
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group
NPI 1770111429 (917) 529-2030

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 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
$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 10

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

PINE SPRINGS HEALTH LLC
Clinic/Center (Primary Care)
711 NE IRVING AVE
BEND, OR 97701
Deschutes County (541) 330-9110
DIVYA SHARMA MD
Internal Medicine
711 NE IRVING AVE
BEND, OR 97701
Deschutes County (541) 330-9110
ALEXANDRIA GIENTKE AGNP
Family Medicine
711 NE IRVING AVE
BEND, OR 97701
Deschutes County (541) 330-9110
MARIAM HAMEED
Nurse Practitioner (Family)
711 NE IRVING AVE
BEND, OR 97701
Deschutes County (541) 330-9110
MARY JAMES MCALLISTER DO
Family Medicine (Addiction Medicine)
711 NE IRVING AVE
BEND, OR 97701
Deschutes County (541) 330-9110
RITUAL MEDICAL LLC
Family Medicine
711 NE IRVING AVE
BEND, OR 97701
Deschutes County (541) 255-1530
JORDYN POWELL LMT
Massage Therapist
711 NE IRVING AVE
BEND, OR 97701
Deschutes County (541) 388-0496
RIES CHIROPRACTIC CENTER PC
Chiropractor
711 NE IRVING AVE
BEND, OR 97701
Deschutes County (541) 388-0496

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 Matthew Mullane's NPI number?

The NPI number for Matthew Mullane is 1720408479. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Matthew Mullane located?

Matthew Mullane practices at 711 NE Irving Ave, Bend, OR 97701. The listed phone number is (541) 255-1530.

What is Matthew Mullane's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Mullane enrolled in Medicare?

Yes. Matthew Mullane is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Mullane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mullane reassigns Medicare benefits to 3 organizations: Ritual Medical LLC (Bend, OR), Mosaic Community Health (Prineville, OR) and Live Life Now Health Group PA (Yonkers, NY). Each 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 Matthew Mullane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Mullane accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Matthew Mullane 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 Matthew Mullane was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.