CORVALLIS PAIN MANAGEMENT
NPI 1740668649
Pain Medicine - Interventional Pain Medicine in Corvallis, OR
About Corvallis Pain Management NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORVALLIS PAIN MANAGEMENT (NPI 1740668649) is a healthcare organization registered as an interventional pain medicine in Corvallis, Oregon and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Julia Bull Rask, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corvallis Pain Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Corvallis Pain Management, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: 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
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 Waiver 38D2023624
Corvallis Medical Group · Corvallis, 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 Corvallis Medical Group LLC's NPI number?
The NPI number for Corvallis Medical Group LLC is 1740668649. It was assigned to this organization in the NPPES registry on May 11, 2015. The provider is doing business as Corvallis Pain Management.
Where is Corvallis Medical Group LLC located?
Corvallis Medical Group LLC is located at 800 NE Circle Blvd, Corvallis, OR 97330. The listed phone number is (541) 286-4742.
What is Corvallis Medical Group LLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Corvallis Medical Group LLC enrolled in Medicare?
Yes. Corvallis Medical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Corvallis Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Corvallis Medical Group LLC, in Anesthesiology, Nurse Practitioner, Pain Management and Physical Medicine and Rehabilitation. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Corvallis Medical Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2023624) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Corvallis Medical Group LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Corvallis Medical Group LLC 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 Corvallis Medical Group LLC was last updated on April 22, 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.
# Corvallis Pain Management · NPI 1740668649
Interventional Pain Medicine organization in Corvallis, Oregon. Organization record, active in the CMS NPPES registry since May 11, 2015.
## Identity
- **NPI:** 1740668649 (Entity type: Organization)
- **Enumerated:** May 11, 2015
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Legal business name:** Corvallis Medical Group Llc
- **Organization subpart:** No
- **Authorized official:** Julia Rask, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 800 NE CIRCLE BLVD, Corvallis, OR 97330-4256
- **Phone:** (541) 286-4742 · **Fax:** (833) 450-5933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (1), Nurse Practitioner (1), Pain Management (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2024
- **Other identifiers:** Medicaid 130103 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740668649) · Data from the CMS NPPES public registry.