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WILLIE UNDERWOOD III MD
NPI 1831136829
Urology in Bend, OR

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
1247 NE MEDICAL CENTER DR STE C, BEND, OR 97701(541) 322-5753(541) 278-8368 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willie Underwood Iii Md NPPES

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

WILLIE UNDERWOOD III MD (NPI 1831136829) is an individual urology provider in Bend, Oregon, licensed in Oregon (MD214003) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1831136829
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameWILLIE UNDERWOOD IIICredential: MD
Location Address1247 NE MEDICAL CENTER DR STE CBend, OR 97701-3786
Mailing AddressPo Box 1517Pendleton, OR 97801-0410 · (877) 708-1119 · Fax (541) 278-8349
Phone(541) 322-5753
Fax(541) 278-8368
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 31, 2006
Last NPPES UpdateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1831136829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in OR · MD214003✔ Licensed in NY · 250131
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1247 NE MEDICAL CENTER DR STE C, Bend, OR 97701
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Secondary Practice Location 1

Location 1Elm and Carlton StBuffalo, NY 14263-0001 · Phone (716) 845-2300 · Fax (716) 845-3300

Other Identifiers 1

Medicaid03038759NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Willie Underwood Iii Md 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 ID5496771495
PECOS Enrollment IDI20260513002756
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
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 2

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

MARK K SPENCER PA
Physician Assistant
1247 NE MEDICAL CENTER DR STE C
BEND, OR 97701
Deschutes County (541) 706-5777
JASON FLAMIATOS M.D., M.P.H.
Urology
1247 NE MEDICAL CENTER DR STE C
BEND, OR 97701
Deschutes County (541) 322-5753

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 Willie Underwood's NPI number?

The NPI number for Willie Underwood is 1831136829. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Willie Underwood located?

Willie Underwood practices at 1247 NE Medical Center Dr Ste C, Bend, OR 97701. The listed phone number is (541) 322-5753.

What is Willie Underwood's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Willie Underwood enrolled in Medicare?

Yes. Willie Underwood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Willie Underwood accept?

Health plans from CareSource list Willie Underwood 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.

Is Willie Underwood affiliated with any hospitals?

According to CMS data, Willie Underwood is affiliated with Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Willie Underwood was last updated on December 21, 2022. 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.