Individual provider Active NPI

Cody Laverdiere, DO

  • Surgery Physician
  • Bend, OR
National Provider Identifier
1033513858
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO225990 Issued in OR
Practice address
2200 NE Neff Rd Ste 204
Bend, OR 97701-4281
Phone
(541) 382-8346
NPI assigned
Oct 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X O-1600 ID
Surgery Physician 208600000X DO225990 OR Primary

Addresses

Primary practice location

2200 NE Neff Rd Ste 204
Bend, OR 97701-4281

Mailing address

2200 NE Neff Rd Ste 204
Bend, OR 97701-4281
Phone (541) 382-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250818002426 WA Practitioner - General Surgery 9739414624 Reassigns benefits to 1 organization
I20250818002646 OR Practitioner - General Surgery 9739414624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Vein Restoration Or LLCGroup PAC ID 1355824913, 13 clinicians
Inovia LLCGroup PAC ID 2860592854, 15 clinicians

Practice addresses (Care Compare)

1405 SE 164TH Ave
Suite 101
Vancouver, WA 98683-9644
Phone (855) 830-8346

2200 NE Neff Rd
Suite 204
Bend, OR 97701-4281
Phone (855) 830-8346

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal268

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inovia LLC CurrentSince Sep 1, 2025 Accepting new patients
Kootenai Health, Inc. Emergency Medicine Past Accepting new patients

Locations

1700 NW 167th Pl
Ste 245
Beaverton, OR 97006
Phone (503) 447-4125

2200 NE Neff Rd
Ste 204
Bend, OR 97701
Phone (541) 382-8346

911 NW 18th Ave
Portland, OR 97209
Phone (503) 227-3666

9200 SE 91st Ave
Ste 200
Portland, OR 97086
Phone (503) 233-5548

7421 SW Bridgeport Rd
Ste 215
Tigard, OR 97224
Phone (503) 620-2400

1405 SE 164th Ave
Ste 101
Vancouver, WA 98683
Phone (360) 253-7666

Organizations & group practices 3

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 1

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1033513858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-8346",
            "fax_number": "541-382-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERDIERE",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-1600",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "DO225990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.