Individual provider Active NPI

Amanda Westfall McCarty, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bend, OR
National Provider Identifier
1063630929
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP00439 Issued in OR
Practice address
1693 SW Chandler Ave
Suite 280
Bend, OR 97702-3231
Phone
(541) 385-7129
Fax
(541) 385-7138
NPI assigned
Apr 23, 2007
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP00439 OR
Foot & Ankle Surgery Podiatrist 213ES0103X DP00439 OR Primary

Addresses

Primary practice location

1693 SW Chandler Ave
Suite 280
Bend, OR 97702-3231

Mailing address

1693 SW Chandler Ave
Suite 280
Bend, OR 97702-3231
Phone (541) 385-7129

Other identifiers 2

IdentifierTypeStateIssuer
820226002OtherORBCBSO
026196MedicaidOR

Other names 1

  • Dr. Amanda Kate Westfall Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000334 OR Practitioner - Podiatry 9739254384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Footcare LLCGroup PAC ID 7113968256, 5 clinicians

Practice addresses (Care Compare)

1693 SW Chandler Ave
Suite 280
Bend, OR 97702-3231
Phone (541) 385-7129

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue113
Removal or shaving of skin growth44
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00439ORMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Footcare, LLC Podiatrist CurrentSince Jan 1, 2024 Accepting new patients
Central Oregon Foot & Ankle Group, Inc. CurrentSince Jun 8, 2015 Accepting new patients

Locations

1693 SW Chandler Ave
Ste 280
Bend, OR 97702
Phone (541) 318-1000

400 SW Bluff Dr
Ste 220
Bend, OR 97702
Phone (541) 728-0858

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

818 SW Forest Ave
Redmond, OR 97756
Phone (541) 316-0468

Networks

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

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1063630929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE",
            "address_2": "SUITE 280",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023231",
            "telephone_number": "541-385-7129",
            "fax_number": "541-385-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE",
            "address_2": "SUITE 280",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023231",
            "telephone_number": "541-385-7129",
            "fax_number": "541-385-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "AMANDA",
        "middle_name": "WESTFALL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00439",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSO",
            "identifier": "820226002",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026196",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WESTFALL",
            "middle_name": "KATE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.