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DR. AMBERENA LOUISE FAIRLEE DMD
NPI 1790201846
Dentist - General Practice in Bend, OR

Active since August 21, 2017PECOS Enrolled
62968 O B RILEY RD STE 12, BEND, OR 97703(855) 433-6825 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2022, Mar 17, 2018, Sep 12, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Amberena Louise Fairlee Dmd NPPES

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

DR. AMBERENA LOUISE FAIRLEE DMD (NPI 1790201846) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D10730) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790201846
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. AMBERENA LOUISE FAIRLEECredential: DMD
Location Address62968 O B RILEY RD STE 12Bend, OR 97703-9443
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825
Phone(855) 433-6825
Sole ProprietorNo
Enumeration DateAugust 21, 2017
Last NPPES UpdateFebruary 28, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
✔ NPI 1790201846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D10730
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
62968 O B RILEY RD STE 12, Bend, OR 97703
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8211
Location 2499 SW Upper Terrace Dr Ste BBend, OR 97702-1582 · Phone (541) 227-2064 · Fax (541) 323-3929

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amberena Louise Fairlee Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97703 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

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

DR. ERIC NOLAND ALSTON DMD
Dentist (General Practice)
62968 O B RILEY RD STE 12
BEND, OR 97703
Deschutes County (855) 433-6825

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 Amberena Fairlee's NPI number?

The NPI number for Amberena Fairlee is 1790201846. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Amberena Fairlee located?

Amberena Fairlee practices at 62968 O B Riley Rd Ste 12, Bend, OR 97703. The listed phone number is (855) 433-6825.

What is Amberena Fairlee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Amberena Fairlee enrolled in Medicare?

Yes. Amberena Fairlee is registered in the Medicare PECOS enrollment system.

What insurance does Amberena Fairlee accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Amberena Fairlee 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 Amberena Fairlee was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.