CENTRAL OREGON ENT LLC - EAR NOSE THROAT AND FACIAL PLASTIC SURGEY
NPI 1902813884
Otolaryngology in Bend, OR

Active since August 02, 2006
2450 NE MARY ROSE PL, SUITE 120, BEND, OR 97701(541) 312-6799(541) 312-7050 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey NPPES

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

CENTRAL OREGON ENT LLC - EAR NOSE THROAT AND FACIAL PLASTIC SURGEY (NPI 1902813884) is a healthcare organization registered as an otolaryngology in Bend, Oregon and active in the NPI registry since August 2006. The organization lists Shelly L Walden, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1902813884
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCENTRAL OREGON ENT LLC - EAR NOSE THROAT AND FACIAL PLASTIC SURGEY
Location Address2450 NE MARY ROSE PL, SUITE 120Bend, OR 97701-7132
Mailing Address2450 Ne Mary Rose Pl, Suite 120Bend, OR 97701-7132 · (541) 312-6799 · Fax (541) 312-7050
Fax(541) 312-7050
Organization SubpartNo
Authorized OfficialShelly L WaldenPractice Manager · (541) 312-6798
Enumeration DateAugust 2, 2006
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1902813884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2450 NE MARY ROSE PL, Bend, OR 97701

Other Identifiers 1

Medicaid286653OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Otolaryngology9
Qualified Audiologist7
Nurse Practitioner1

Clinicians, nearest first (17)

Qualified Audiologist
NPI 1255813713
2450 NE MARY ROSE PL
Bend, OR 97701
(541) 382-3100
✔ Accepts MedicareSame address
Otolaryngology
NPI 1972952703
2450 NE MARY ROSE PL STE 120
Bend, OR 97701
(541) 312-7056
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1528621679
2450 NE MARY ROSE PL STE 120
Bend, OR 97701
(541) 312-7056
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649008434
2450 NE MARY ROSE PL STE 120
Bend, OR 97701
(541) 382-3100
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1780893008
2450 NE MARY ROSE PL STE 120
Bend, OR 97701
(541) 312-6784
✔ PECOSSame address
Otolaryngology
NPI 1023051232
2450 NE MARY ROSE PL STE 120
Bend, OR 97701
(541) 382-3100
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1518595685
2450 NE MARY ROSE PL STE 120
Bend, OR 97701
(541) 382-3100
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1558539106
2450 NE MARY ROSE PL STE 120
Bend, OR 97701
(541) 312-6799
✔ Accepts MedicareSame address
Otolaryngology
NPI 1326099508
2450 NE MARY ROSE PL STE 120
Bend, OR 97701
(505) 661-4147
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1043292196
2450 NE MARY ROSE PL SUITE 120
Bend, OR 97701
(541) 382-3100
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1457524985
2450 NE MARY ROSE PL 120
Bend, OR 97701
(541) 382-3100
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1659009397
2450 NE MARY ROSE PL STE 120
Bend, OR 97701
(541) 382-3100
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1558628669
2205 NW SHEVLIN PARK RD
Bend, OR 97703
(541) 678-5698
✔ Accepts Medicare4.0 mi
Qualified Audiologist
NPI 1679707079
1020 SW INDIAN AVE STE 102
Redmond, OR 97756
(541) 749-2881
✔ Accepts Medicare15 mi
Qualified Audiologist
NPI 1548370869
1734 LARK STREET STE 102
Klamath Falls, OR 97601
(541) 859-2924
✔ Accepts Medicare130 mi
Otolaryngology
NPI 1740546894
280 EXEMPLA CIR
Lafayette, CO 80026
(303) 338-4545
✔ PECOS✔ Accepts Medicare878 mi
Otolaryngology
NPI 1346508249
32 STRAWBERRY HILL CT STE 4
Stamford, CT 06902
(203) 353-0000
✔ PECOS✔ Accepts Medicare2,410 mi

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 Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey's NPI number?

The NPI number for Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey is 1902813884. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey located?

Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey is located at 2450 NE Mary Rose Pl Suite 120, Bend, OR 97701. The listed phone number is (541) 312-6799.

What is Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey enrolled in Medicare?

Yes. Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey. 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. The largest specialties are Otolaryngology (9), Qualified Audiologist (7) and Nurse Practitioner (1). Of these, 12 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey 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 Central Oregon Ent LLC - Ear Nose Throat And Facial Plastic Surgey was last updated on January 17, 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.