Deschutes Surgery Center, LLC
NPI 1477949766 · Ambulatory Surgical Clinic/Center · Bend, OR
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deschutes Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Bend, OR (NPI 1477949766).
Provider details
- NPI number
- 1477949766
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Booher, Administrator(541) 585-2400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,523 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 388 | $379 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 357 | $402 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 219 | $397 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 184 | $837 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 110 | $307 |
| Injection of Anesthetic And/Or Steroid Drug Into Upper Or Middle Spine Nerve Root Using Imaging Guidance, Single Level |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Deschutes Surgery Center, LLC
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2017-03-21
Frequently asked questions
- What is Deschutes Surgery Center, LLC's NPI number?
- Deschutes Surgery Center, LLC's National Provider Identifier (NPI) is 1477949766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deschutes Surgery Center, LLC?
- Deschutes Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Deschutes Surgery Center, LLC located?
- Deschutes Surgery Center, LLC's practice location on file with NPPES is 2115 Ne Wyatt Ct, Bend, OR 97701-7678.
- What is Deschutes Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Deschutes Surgery Center, LLC is (541) 585-2400.
- Does Deschutes Surgery Center, LLC accept Medicare?
- Deschutes Surgery Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Deschutes Surgery Center, LLC?
- The authorized official listed on Deschutes Surgery Center, LLC's NPPES record is Kimberly Booher, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deschutes Surgery Center, LLC's NPI active?
- Yes — Deschutes Surgery Center, LLC's NPI (1477949766) is active in the NPPES registry as of the last update on 2017-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.