JEFFREY ROBERT MATHISEN M.D.
NPI 1740200484
Surgery in Bend, OR

Q: What is Jeffrey Mathisen's NPI number?

The NPI number for Jeffrey Mathisen is 1740200484. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Jeffrey Mathisen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Mathisen was last updated on August 30, 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.

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

2200 NE NEFF RD STE 302, BEND, OR 97701(541) 706-6915(541) 706-6733 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 30, 2023, Mar 9, 2023, Jan 29, 2021 and 1 more (4 updates tracked since 2017).

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About Jeffrey Robert Mathisen M.d. NPPES

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

JEFFREY ROBERT MATHISEN M.D. (NPI 1740200484) is an individual surgery provider in Bend, Oregon, licensed in Oregon (MD22909) and active in the NPI registry since July 2006. 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

NPI1740200484

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJEFFREY ROBERT MATHISENCredential: M.D.

Location Address2200 NE NEFF RD STE 302Bend, OR 97701-4279

Mailing Address1501 Ne Medical Center DrBend, OR 97701-6051 · (541) 382-2811

Phone(541) 706-6915

Fax(541) 706-6733

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1996

Enumeration DateJuly 19, 2006

Last NPPES UpdateAugust 30, 20234 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1740200484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OR · MD22909

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2200 NE NEFF RD STE 302, Bend, OR 97701

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Secondary Practice Location 1

Location 11501 NE Medical Center DrBend, OR 97701-6051 · Phone (541) 382-2811

Other Identifiers 2

Medicaid8277055WA

Medicaid287579OR

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

Jeffrey Robert Mathisen M.d. 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 ID7416992508

PECOS Enrollment IDI20120110000835

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

Medicare enrollment records show Jeffrey Mathisen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Charles Health System, Inc.

0.1 mi

Family Medicine

2500 NE NEFF RD
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
348 clinicians in this Medicare group

NPI 1023331303 (541) 382-4321

St. Charles Health System, Inc.

0.1 mi

Rehabilitation Unit

2500 NE NEFF RD
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
307 clinicians in this Medicare group

NPI 1154343150 (541) 382-4321

Bend Memorial Clinic PC

0.3 mi

Family Medicine

1501 NE MEDICAL CENTER DR
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
317 clinicians in this Medicare group

NPI 1699827477 (541) 382-2811

Mid-Columbia Medical Center

105 mi

General Practice

1700 E 19TH ST
The Dalles, OR 97058

Reassigned Medicare billing, Oregon enrollment
195 clinicians in this Medicare group

NPI 1053409599 (541) 296-1111

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

Areas of Expertise CMS Part B claims 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

36 services36 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.

16 services16 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

15 services15 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

15 services15 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.

11 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 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

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381313

Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County

Emergency services

St Charles Madras

Critical Access Hospitals · Madras, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381324

Location470 NE A StreetMadras, OR 97741 · Jefferson County

Emergency services Birthing friendly

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

$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 20

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

MS. DEBORA ANN LEONARDO FNP-BC

Nurse Practitioner (Family)