Individual provider Active NPI

Matt S Ashley, M.D.

  • Urology Physician
  • Bend, OR
National Provider Identifier
1013294941
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD60620802 Issued in WA
Practice address
2090 NE Wyatt CT Ste 101
Bend, OR 97701-7691
Phone
(541) 382-6447
Fax
(541) 330-7413
NPI assigned
Nov 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD182192 PW
Urology Physician 208800000X MD60620802 WA Primary

Addresses

Primary practice location

2090 NE Wyatt CT Ste 101
Bend, OR 97701-7691

Mailing address

2090 NE Wyatt CT Ste 101
Bend, OR 97701-7691
Phone (541) 382-6447

Other practice location 1

1245 NW 4th St
Redmond, OR 97756-1680
Phone (541) 382-6447

Other identifiers 1

IdentifierTypeStateIssuer
500724795MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mashley16360@directmsg.bmctotalcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170714000320 OR Practitioner - Urology 1658502851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Oregon Health Sciences University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bend Memorial Clinic PCGroup PAC ID 7214936533, 225 clinicians
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

1501 NE Medical Ctr Dr
Bend, OR 97701-6051
Phone (541) 382-2811

2090 NE Wyatt CT
Suite 101
Bend, OR 97701-7691
Phone (541) 382-6447

2500 NE Neff Rd
St. Charles Medical Center Bend
Bend, OR 97701-6015
Phone (541) 382-2811

333 NW Larch Ave
Suite 2
Redmond, OR 97756-1186
Phone (541) 382-4900

815 SW Bond St
Bend, OR 97702-3593

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047
  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • St Charles Medical Center Prineville Hospital, Prineville, OR, CCN 381313
  • St Charles Madras Hospital, Madras, OR, CCN 381324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD182192PWMDUrology Physician
MD60620802WAMDUrology Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Feb 10, 2025 Accepting new patients
Bend Memorial Clinic PC CurrentSince Jan 1, 2019 Accepting new patients
Salem Health Current Accepting new patients
Salem Health CurrentSince Feb 10, 2025 Accepting new patients
Bend Memorial Clinic PC CurrentSince Jan 1, 2019 Accepting new patients

Locations

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

2090 NE Wyatt Ct
Ste 101
Bend, OR 97701
Phone (541) 382-6447

1245 NW 4th St
Redmond, OR 97756
Phone (541) 526-1771

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: mashley399208@direct.salemhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013294941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 NE WYATT CT STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017691",
            "telephone_number": "541-382-6447",
            "fax_number": "541-330-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 NE WYATT CT STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017691",
            "telephone_number": "541-382-6447",
            "fax_number": "541-330-7413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 NW 4th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561680",
            "country_code": "US",
            "telephone_number": "541-382-6447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "MATT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-06",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PW",
            "license": "MD182192",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD60620802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500724795",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mashley16360@directmsg.bmctotalcare.com",
            "affiliation": "N",
            "address_1": "2090 NE Wyatt Ct Ste 101",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977017691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.