IndividualActive
Kevin Fickenscher, M.D.
NPI 1750681391 · Family Medicine Physician · Bend, OR
Provider details
- NPI number
- 1750681391
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G84904 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
3499 Nw Braid Drive
Bend, OR 97701-8682
Phone: (415) 307-7358
Fax: (415) 223-9383
Street-level locationGet directions
Mailing address
7710 Woodmont Avenue
Bethesda, MD 20814
Registry dates
- Enumerated
- 2010-10-29
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.