SOUTHERN OREGON FOOT & ANKLE, LLC
NPI 1891980546
Podiatrist - Foot Surgery in Medford, OR
About Southern Oregon Foot & Ankle, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN OREGON FOOT & ANKLE, LLC (NPI 1891980546) is a healthcare organization registered as a foot surgery in Medford, Oregon and active in the NPI registry since September 2007. The organization lists Evan Chard Merrill, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Oregon Foot & Ankle, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Southern Oregon Foot & Ankle, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Southern Oregon Foot & Ankle, LLC's NPI number?
The NPI number for Southern Oregon Foot & Ankle, LLC is 1891980546. It was assigned to this organization in the NPPES registry on September 6, 2007.
Where is Southern Oregon Foot & Ankle, LLC located?
Southern Oregon Foot & Ankle, LLC is located at 1904 E Barnett Rd, Medford, OR 97504. The listed phone number is (541) 776-3338.
What is Southern Oregon Foot & Ankle, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Southern Oregon Foot & Ankle, LLC enrolled in Medicare?
Yes. Southern Oregon Foot & Ankle, LLC is registered in the Medicare PECOS enrollment system.
When is Southern Oregon Foot & Ankle, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern Oregon Foot & Ankle, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Podiatry, reassign their Medicare billing to Southern Oregon Foot & Ankle, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Oregon Foot & Ankle, LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Southern Oregon Foot & Ankle, 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 Southern Oregon Foot & Ankle, LLC was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southern Oregon Foot & Ankle, Llc · NPI 1891980546
Foot Surgery organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since September 6, 2007.
## Identity
- **NPI:** 1891980546 (Entity type: Organization)
- **Enumerated:** September 6, 2007
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Evan Merrill, OWNER
## Practice location
- **Address:** 1904 E BARNETT RD, Medford, OR 97504-8262
- **Phone:** (541) 776-3338 · **Fax:** (541) 776-4979
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Oregon, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2020
- **Other identifiers:** Medicaid 243148 (OR); Other 891269000 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1891980546) · Data from the CMS NPPES public registry.