Active NPI 1376567388 Individual Practitioner Female Practitioner

Dr. Mary Manfredi , MD

Internal Medicine • Bend, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mary Manfredi, MD is a certified Internal Medicine practicing in Bend, OR. With approximately 29 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 1997, Dr. Manfredi delivers high-quality medical care to the local community at 1501 NE MEDICAL CENTER DR.

Dr. Manfredi is affiliated with Bend Memorial Clinic Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 Ne Medical Center Dr

Bend, OR 977016051

Telephone 5413824900

Associated Practice Facility / Clinic

🏢 Bend Memorial Clinic Llp Facility NPI 1174581060

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bend, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +9.4 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

98 Specialists

Practicing in Bend, OR (2185 Statewide)

Telehealth Adoption Rate

31.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Manfredi (29 Years) 29 Yrs

Bend Specialty Average (19.6 Years) 19.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,199	475	$376.81	$122.94
36415 Insertion of needle into vein for collection of blood sample	748	406	$30.00	$8.60
80053 Blood test, comprehensive group of blood chemicals	591	386	$27.00	$10.27
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	521	368	$20.00	$7.55
84443 Blood test, thyroid stimulating hormone (TSH)	460	349	$43.00	$16.37
80061 Blood test, lipids (cholesterol and triglycerides)	446	350	$34.00	$13.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	386	386	$405.98	$124.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	361	205	$17.00	$15.75
83036 Hemoglobin A1C level	318	233	$25.00	$9.38
G0444 Annual depression screening, 5 to 15 minutes	274	274	$59.00	$18.17
99213 Established patient office or other outpatient visit, typically 15 minutes	192	136	$250.25	$86.32
G0008 Administration of influenza virus vaccine	89	88	$66.00	$31.25
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	88	88	$662.17	$282.00
G0009 Administration of pneumococcal vaccine	86	86	$67.00	$31.25
90662 Influenza vaccine split virus, preservative free	85	84	$180.54	$79.31
82306 Vitamin d-3 level	85	70	$75.00	$28.75
82043 Urine microalbumin (protein) level	80	47	$15.00	$5.47
82570 Creatinine level to test for kidney function or muscle injury	80	47	$13.00	$4.91
82607 Cyanocobalamin (vitamin B-12) level	79	68	$38.00	$14.78
82728 Ferritin (blood protein) level	72	49	$35.00	$13.36
81015 Urinalysis using microscope	69	60	$8.00	$2.99
83540 Iron level	67	47	$17.00	$6.34
90480 Admn sarscov2 vacc 1 dose	67	63	$100.00	$41.67
84466 Transferrin (iron binding protein) level	67	47	$32.00	$12.50
91322 Sarscov2 vac 50 mcg/0.5ml im	66	62	$348.09	$153.05
84439 Thyroxine (thyroid chemical), free	63	55	$23.00	$8.56
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	39	39	$151.00	$44.46
85652 Red blood cell sedimentation rate, to detect inflammation, automated	38	36	$7.00	$2.65
G0103 Prostate cancer screening; prostate specific antigen test (psa)	36	36	$46.00	$18.39
86140 Measurement C-reactive protein for detection of infection or inflammation	34	30	$13.00	$5.08
80076 Liver function blood test panel	29	23	$21.00	$8.01
99496 Transitional care management services for problem of high complexity	28	26	$798.00	$269.38
83970 Parathormone (parathyroid hormone) level	28	27	$104.00	$39.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	25	$512.07	$173.86
81001 Manual urinalysis test with examination using microscope, automated	19	16	$8.00	$3.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$561.11	$151.95
82248 Bilirubin level, direct	17	17	$13.00	$4.92
99495 Transitional care management services for problem of at least moderate complexity	16	16	$579.00	$199.40
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	16	16	$126.00	$37.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	12	$172.00	$51.74
80048 Blood test, basic group of blood chemicals (calcium, total)	16	13	$22.00	$8.29
83690 Lipase (fat enzyme) level	14	13	$18.00	$6.75
82565 Blood creatinine level	13	13	$13.00	$5.02
69209 Removal of impacted ear wax by washing	13	13	$64.08	$15.35
86431 Rheumatoid factor level	12	12	$15.00	$5.56
84550 Uric acid level, blood	11	11	$12.00	$4.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,014	422	$351.00	$121.84
36415 Insertion of needle into vein for collection of blood sample	616	355	$13.42	$7.24
80053 Blood test, comprehensive group of blood chemicals	461	324	$27.00	$10.30
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	457	319	$20.00	$7.57
84443 Blood test, thyroid stimulating hormone (TSH)	392	316	$43.00	$16.40
80061 Blood test, lipids (cholesterol and triglycerides)	388	312	$34.00	$13.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	328	328	$376.00	$121.58
G0444 Annual depression screening, 5 to 15 minutes	284	284	$59.00	$17.47
83036 Hemoglobin A1C level	200	146	$25.00	$9.41
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	171	171	$151.00	$45.42
99213 Established patient office or other outpatient visit, typically 15 minutes	149	119	$239.00	$84.55
G0008 Administration of influenza virus vaccine	100	99	$66.00	$29.54
90662 Influenza vaccine split virus, preservative free	85	85	$158.00	$71.00
82728 Ferritin (blood protein) level	70	44	$35.00	$13.23
82306 Vitamin d-3 level	70	58	$75.00	$28.72
83540 Iron level	62	37	$17.00	$6.27
84466 Transferrin (iron binding protein) level	61	36	$32.00	$12.36
82607 Cyanocobalamin (vitamin B-12) level	56	46	$38.00	$14.59
81015 Urinalysis using microscope	55	46	$8.00	$2.99
G0009 Administration of pneumococcal vaccine	47	47	$67.00	$29.54
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	45	45	$648.04	$282.03
84439 Thyroxine (thyroid chemical), free	40	34	$23.00	$8.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$530.00	$157.82
82570 Creatinine level to test for kidney function or muscle injury	37	31	$13.00	$4.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	34	$470.00	$172.86
82043 Urine microalbumin (protein) level	37	31	$15.00	$5.40
80076 Liver function blood test panel	34	30	$21.00	$8.01
85652 Red blood cell sedimentation rate, to detect inflammation, automated	33	30	$7.00	$2.65
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	32	32	$85.00	$24.71
83970 Parathormone (parathyroid hormone) level	32	29	$104.00	$40.45
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	29	29	$126.00	$37.16
G0103 Prostate cancer screening; prostate specific antigen test (psa)	27	27	$46.00	$18.92
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	26	26	$97.00	$41.55
91322 Sarscov2 vac 50 mcg/0.5ml im	25	25	$329.00	$143.00
90480 Admn sarscov2 vacc 1 dose	25	25	$100.00	$39.39
99497 Advance care planning, first 30 minutes	21	21	$276.00	$79.16
99496 Transitional care management services for problem of high complexity	21	20	$746.00	$265.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$538.00	$149.70
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	16	$49.00	$20.56
99495 Transitional care management services for problem of at least moderate complexity	16	13	$529.00	$196.09
96127 Assessment of emotional or behavioral problems	15	12	$17.00	$4.40
86140 Measurement C-reactive protein for detection of infection or inflammation	14	14	$13.00	$5.08
80048 Blood test, basic group of blood chemicals (calcium, total)	11	11	$22.00	$8.29
82565 Blood creatinine level	11	11	$13.00	$5.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	742	356	$339.52	$123.02
99213 Established patient office or other outpatient visit, typically 15 minutes	268	180	$235.83	$86.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	195	195	$354.15	$125.80
G0444 Annual depression screening, 5 to 15 minutes	135	135	$50.16	$17.50
36415 Insertion of needle into vein for collection of blood sample	116	109	$7.00	$2.91
80053 Blood test, comprehensive group of blood chemicals	86	85	$27.00	$10.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	85	85	$20.00	$7.52
84443 Blood test, thyroid stimulating hormone (TSH)	81	81	$43.00	$16.26
80061 Blood test, lipids (cholesterol and triglycerides)	69	69	$34.00	$12.93
G0008 Administration of influenza virus vaccine	63	63	$66.00	$28.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	52	$468.01	$173.92
90662 Influenza vaccine split virus, preservative free	55	55	$158.98	$68.54
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	41	41	$70.38	$25.11
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	36	36	$151.00	$44.98
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	34	32	$72.49	$25.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	14	$54.00	$13.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	33	14	$3.65	$1.71
83036 Hemoglobin A1C level	31	31	$25.00	$9.21
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$37.88	$13.75
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	22	22	$107.83	$41.28
G0009 Administration of pneumococcal vaccine	19	19	$39.63	$27.15
0124A Fee covid-19 vac 13 res	15	15	$100.00	$37.38
96127 Assessment of emotional or behavioral problems	15	14	$17.00	$4.38
91312 Coronavirus vaccine 13	15	15	$0.01	$0.01
99496 Transitional care management services for problem of high complexity	15	12	$729.84	$267.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$530.00	$159.34
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$233.64	$131.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$433.28	$161.03
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$114.23	$37.02
84439 Thyroxine (thyroid chemical), free	11	11	$23.00	$8.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	750	354	$330.23	$124.97
99213 Established patient office or other outpatient visit, typically 15 minutes	207	148	$228.80	$87.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	190	190	$335.35	$128.24
G0008 Administration of influenza virus vaccine	94	93	$34.00	$16.36
90662 Influenza vaccine split virus, preservative free	87	86	$69.08	$64.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	61	$461.14	$175.64
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	46	46	$110.84	$41.74
G0009 Administration of pneumococcal vaccine	37	37	$27.00	$16.39
93000 Routine ekg using at least 12 leads including interpretation and report	34	32	$37.96	$14.04
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$432.54	$163.24
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$178.34	$125.92
99496 Transitional care management services for problem of high complexity	20	18	$712.40	$270.37
90670 Pneumococcal vaccine for injection into muscle	17	17	$348.19	$240.72
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$38.06	$14.24
69209 Removal of impacted ear wax by washing	11	11	$51.79	$17.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	259	$253.68	$105.79
99213 Established patient office or other outpatient visit, typically 15 minutes	442	257	$172.14	$71.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	206	206	$256.42	$112.99
G0008 Administration of influenza virus vaccine	70	68	$34.00	$16.49
G0009 Administration of pneumococcal vaccine	62	62	$27.34	$16.47
90662 Influenza vaccine split virus, preservative free	51	49	$77.15	$60.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$171.32	$115.41
96127 Assessment of emotional or behavioral problems	36	28	$26.04	$4.73
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	36	36	$59.21	$41.03
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$51.20	$16.61
90670 Pneumococcal vaccine for injection into muscle	27	27	$342.27	$227.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$366.60	$162.97
99496 Transitional care management services for problem of high complexity	19	15	$561.69	$226.78
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$24.48	$19.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$100.49	$39.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$341.81	$141.20
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$20.13	$16.63
81003 Automated urinalysis test	12	12	$12.60	$2.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	525	274	$253.68	$106.05
99213 Established patient office or other outpatient visit, typically 15 minutes	370	221	$172.14	$72.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	176	176	$255.84	$113.12
G0008 Administration of influenza virus vaccine	50	48	$35.12	$16.19
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	48	48	$85.02	$37.77
90662 Influenza vaccine split virus, preservative free	47	45	$59.71	$53.67
G0009 Administration of pneumococcal vaccine	41	41	$27.85	$16.19
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	41	41	$60.42	$42.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$341.81	$142.15
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$164.88	$110.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$377.52	$167.09
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$51.20	$16.57
81003 Automated urinalysis test	18	14	$12.60	$2.44
90670 Pneumococcal vaccine for injection into muscle	18	18	$312.28	$208.80
99496 Transitional care management services for problem of high complexity	14	14	$561.69	$221.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$366.60	$162.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	545	259	$253.68	$105.45
99213 Established patient office or other outpatient visit, typically 15 minutes	333	195	$172.14	$71.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	157	157	$255.84	$114.01
G0008 Administration of influenza virus vaccine	98	98	$34.00	$19.92
90662 Influenza vaccine split virus, preservative free	81	81	$54.72	$52.30
G0009 Administration of pneumococcal vaccine	63	63	$28.11	$19.92
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	62	62	$85.02	$37.04
93000 Routine ekg using at least 12 leads including interpretation and report	33	32	$51.20	$16.53
90670 Pneumococcal vaccine for injection into muscle	32	32	$308.64	$199.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$158.00	$105.59
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	24	24	$60.42	$43.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$366.60	$162.88
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	19	19	$20.13	$16.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$377.52	$167.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	488	258	$241.60	$104.27
99213 Established patient office or other outpatient visit, typically 15 minutes	392	233	$163.94	$70.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$251.65	$112.51
G0008 Administration of influenza virus vaccine	119	117	$34.00	$24.61
90653 Vaccine for influenza for injection into muscle	88	88	$69.67	$49.22
G0009 Administration of pneumococcal vaccine	76	75	$28.14	$24.61
90670 Pneumococcal vaccine for injection into muscle	58	58	$262.20	$184.18
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	54	54	$81.07	$37.20
93000 Routine ekg using at least 12 leads including interpretation and report	42	39	$48.76	$16.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$359.08	$166.27
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	34	34	$60.42	$43.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	27	27	$335.92	$161.45
71020 X-ray of chest, 2 views, front and side	26	26	$73.94	$24.42
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	26	26	$21.23	$16.49
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$135.85	$95.95
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	14	14	$20.06	$17.14
81003 Automated urinalysis test	12	12	$12.00	$3.02
99495 Transitional care management services for problem of at least moderate complexity	11	11	$378.67	$158.91
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$115.12	$44.53

Medical Specialties & State Licenses

CMS Verified: 2022-07-20

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD26327

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

247131 (OR)

Hospital & Practice Group Affiliations

Bend Memorial Clinic Pc

815 Sw Bond St, Bend, OR 977023593

Phone: 5417062525

Secondary Practice Locations

929 Sw Simpson Ave

Bend, OR 977023118

Phone: 5413897741

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Jennifer Herr , FNP

Nurse Practitioner - Family

NPI 1003350505

Family Nurse Practitioner

Calli Rogowitz , PA

Physician Assistant

NPI 1003471590

Physician Assistant

Dr. Kurt Andreason , MD

Ophthalmology

NPI 1013990027

Doctor of Medicine (M.D.)

Deona Kasten-Stubbs , FNP

Nurse Practitioner - Family

NPI 1023202314

Family Nurse Practitioner

Gregory Lang , PA-C

Physician Assistant

NPI 1023369527

Physician Assistant (Certified)

Dr. Jeremiah Lanford , MD

Psychiatry & Neurology - Neurology

NPI 1033230800

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 20, 2022

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413824900)

📍

Updated Business Mailing Address July 20, 2022

Registered at PO BOX 6048, BEND, OR 977086048 (Tel: 5413824900)

✅

NPI Profile Active August 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2012

Registered at 929 SW SIMPSON AVE, BEND, OR 977023118 (Tel: 5413897741)

📍

Updated Business Mailing Address August 20, 2012

Registered at 929 SW SIMPSON AVE, BEND, OR 977023118 (Tel: 5413897741)

👤

Provider Name / Credentials Updated August 20, 2012

Recorded as MARY MANFREDI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2012

Internal Medicine (License #MD26327 in OR)

🟢

Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1376567388

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 26, 2006

Last Update: July 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6048

Bend, OR 977086048

Phone: 5413824900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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