John Walter Wiest, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD14474 Issued in OR

Practice address

1550 NE 27TH St Ste 100
Bend, OR 97701-7760

Phone

(541) 313-8111

Fax

(541) 313-8112

NPI assigned

Dec 30, 2005

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

85.1 of 100Reported as group

Quality

65.33

Promoting interoperability

100

Improvement activities

40

Cost

75.3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDIHDD

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.

• Oregon Vascular Specialists LLC

  • Vascular Surgery Physician
  • Bend, OR
  • NPI 1669917167
  Medicare reassignment NPD

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1073590998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NE 27TH ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017760",
            "telephone_number": "413-138-1115",
            "fax_number": "541-313-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NE 27TH ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017760",
            "telephone_number": "541-313-8111",
            "fax_number": "541-313-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9155 SW Barnes Rd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256631",
            "country_code": "US",
            "telephone_number": "503-935-8500",
            "fax_number": "503-935-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEST",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD14474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175216",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referringmns@orclinic.direct-ci.net",
            "affiliation": "Y",
            "affiliationName": "The Oregon Clinic PC",
            "address_1": "9155 SW Barnes Rd Ste 440",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael C Widmer, M.D
• Tatjana Wiener
• Ashley Wiersma, LCSW
• Beth Louise Wiese, AGACNP-BC
• Teylor McKayla Wiese, FNP-BC
• Matthew Kristoff Wiest, D.O.
• Sarah Wiggers, CADC
• Andrea S Wiggins, OT
• Emily C Wiggins, ND
• Rodney Phillip Wigle, MD

• Vascular Surgery Physician in Bend, OR
• Providers in Bend, OR by specialty
• Vascular Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.