BROCK RUTHERFORD PA-C
NPI 1841640430
Physician Assistant - Surgical in Bend, OR

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
73.23/100
CMS Quality Rating
2200 NE NEFF RD STE 200, BEND, OR 97701(541) 382-3344 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2025, Sep 18, 2024, May 9, 2022 and 4 more (7 updates tracked since 2016).

About Brock Rutherford Pa-c NPPES

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

BROCK RUTHERFORD PA-C (NPI 1841640430) is an individual surgical provider in Bend, Oregon, licensed in Oregon (192493) and active in the NPI registry since June 2016. 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

NPI1841640430
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBROCK RUTHERFORDCredential: PA-C
Location Address2200 NE NEFF RD STE 200Bend, OR 97701-4281
Mailing Address2200 Ne Neff Rd Ste 200Bend, OR 97701-4281 · (415) 382-3344
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2016
Enumeration DateJune 15, 2016
Last NPPES UpdateApril 2, 20257 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1841640430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OR · 192493
2200 NE NEFF RD STE 200, Bend, OR 97701

Secondary Practice Location 1

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

Other Identifiers 2

Medicaid500762847OR
Other192493OR · Oregon Medical Board

Accepted 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

Brock Rutherford Pa-c 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 ID5991084642
PECOS Enrollment IDI20190613000798
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
13 services13 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.36
Promoting Interoperability71
Improvement Activities40
Cost83.57

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers14 claims14 services$264.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Medical)
2200 NE NEFF RD STE 200
BEND, OR 97701
Orthopaedic Surgery
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant (Surgical)
2200 NE NEFF RD STE 200
BEND, OR 97701
Physician Assistant
2200 NE NEFF RD STE 200
BEND, OR 97701
Specialist/Technologist (Athletic Trainer)
2200 NE NEFF RD STE 200
BEND, OR 97701
Orthopaedic Surgery (Sports Medicine)
2200 NE NEFF RD STE 200
BEND, OR 97701
Specialist/Technologist (Athletic Trainer)
2200 NE NEFF RD STE 200
BEND, OR 97701
Orthopaedic Surgery
2200 NE NEFF RD STE 200
BEND, OR 97701

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 Brock Rutherford's NPI number?

The NPI number for Brock Rutherford is 1841640430. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Brock Rutherford located?

Brock Rutherford practices at 2200 NE Neff Rd Ste 200, Bend, OR 97701. The listed phone number is (541) 382-3344.

What is Brock Rutherford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brock Rutherford enrolled in Medicare?

Yes. Brock Rutherford 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 Brock Rutherford accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brock Rutherford 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 Brock Rutherford affiliated with any hospitals?

According to CMS data, Brock Rutherford is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for Brock Rutherford was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.