Active NPI 1841640430 Individual Practitioner Male Practitioner

Brock Rutherford , PA-C

Physician Assistant - Surgical • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brock Rutherford, PA-C is a certified Physician Assistant - Surgical practicing in Bend, OR. With approximately 10 years of clinical experience since graduating from Stanford University School Of Medicine in 2016, Brock Rutherford delivers high-quality medical care to the local community at 2200 NE NEFF RD STE 200.

Brock Rutherford is affiliated with St Charles Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Ne Neff Rd Ste 200

Bend, OR 977014281

Telephone 5413823344

Associated Practice Facility / Clinic

🏢 Central Oregon Magnetic Resonance Imaging Llc Facility NPI 1023826120

Medicare Profile & Education

Medical School

Stanford University School Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Bend, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -3.9 yrs vs City Avg

City Avg: 13.9 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

39 Specialists

Practicing in Bend, OR (368 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

94.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rutherford (10 Years) 10 Yrs

Bend Specialty Average (13.9 Years) 13.9 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	15	15	$361.95	$100.39
27447 Replacement of knee joint, both sides of knee	13	13	$3720.20	$164.56
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$3713.55	$152.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	416	93	$4.48	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	203	180	$248.99	$73.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$315.49	$91.19
20610 Aspiration and/or injection of fluid from large joint	99	90	$228.05	$55.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	70	$354.55	$104.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$477.16	$135.60
73564 X-ray of knee, 4 or more views	21	19	$133.00	$34.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	208	44	$2.94	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	93	87	$251.92	$72.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$315.46	$90.69
20610 Aspiration and/or injection of fluid from large joint	43	42	$310.33	$58.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$357.69	$104.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$495.15	$135.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$254.60	$75.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$179.74	$60.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$179.74	$61.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$266.47	$89.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	12	$107.63	$37.27

Medical Specialties & State Licenses

CMS Verified: 2025-04-02

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OR 192493

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500762847 (OR)

Commercial Insurance / Payer ID Oregon Medical Board

192493 (OR)

Hospital & Practice Group Affiliations

St Charles Health System Inc

2500 Ne Neff Rd, Bend, OR 977016015

St Charles Health System Inc

2500 Ne Neff Rd, Bend, OR 977016015

Phone: 5417067715

St Charles Health System Inc

211 Nw Larch Ave, Redmond, OR 977561357

Phone: 5415482164

Secondary Practice Locations

1501 Ne Medical Center Dr

Bend, OR 977016051

Phone: 5413822811

Practice Associates & Co-Workers

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

40 Associated Practitioners

David Kirkpatrick , PA

Physician Assistant - Medical

NPI 1003138256

Physician Assistant

Dr. Matthew Lilley , MD

Orthopaedic Surgery

NPI 1003166612

Doctor of Medicine (M.D.)

Dr. James Verheyden , MD

Orthopaedic Surgery - Hand Surgery

NPI 1013912591

Doctor of Medicine (M.D.)

Rachel Kosek

Physician Assistant

NPI 1043807894

Christine Goodall , PA-C

Physician Assistant - Surgical

NPI 1053869685

Physician Assistant (Certified)

Dr. Raymond Tien , MD

Neurological Surgery

NPI 1073518551

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 26, 2021

Registered at 2200 NE NEFF RD STE 200, BEND, OR 977014281 (Tel: 5413823344)

📍

Updated Business Mailing Address April 26, 2021

Registered at 2200 NE NEFF RD STE 200, BEND, OR 977014281 (Tel: 4153823344)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2021

Physician Assistant (License #192493 in OR)

✅

NPI Profile Active November 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 04, 2016

Registered at 4217 CASTILLO ST., SSNTA BARBARA, CA 93105 (Tel: 8056870885)

📍

Updated Business Mailing Address November 04, 2016

Registered at 2417 CASTILLO ST, SANTA BARBARA, CA 931054301 (Tel: 8056872424)

👤

Provider Name / Credentials Updated November 04, 2016

Recorded as BROCK RUTHERFORD, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2016

Physician Assistant (License #53463 in CA)

🟢

Initial NPI Registration & Enumeration June 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841640430

Entity Type:

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

Enumeration Date: June 15, 2016

Last Update: April 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2200 Ne Neff Rd Ste 200

Bend, OR 977014281

Phone: 4153823344

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.