DESCHUTES SURGERY CENTER LLC NPI 1477949766

NPI Information

  • NPI: 1477949766
  • Provider Name: DESCHUTES SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: DESCHUTES SURGERY CENTER, LLC
  • Address: 2115 NE WYATT CT
    SUITE 105
    BEND, OR
    ZIP 97701
  • Phone: (541) 585-2400

Map and Directions

Get Directions

NPI Details

DESCHUTES SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bend, OR. DESCHUTES SURGERY CENTER, LLC NPI is 1477949766. The provider is registered as an organization entity type.
The provider Is Doing Business As Deschutes Surgery Center, Llc.

The provider's business location address is:

2115 NE WYATT CT
SUITE 105
BEND, OR
ZIP 97701-678
Phone: (541) 585-2400
Fax: (541) 585-2415

The provider's authorized official is Kimberly M Booher .
The authorized official title is Administrator and has the following contact phone number (541) 585-2400.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS:64479)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS:64625)

The enumeration date for this NPI number is 4/13/2015 and was last updated on 3/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.