Individual provider Active NPI

Regan Gage, M.D.

  • Obstetrics & Gynecology Physician
  • Bend, OR
National Provider Identifier
1093001059
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
173416 Issued in NC
Practice address
2400Neneff Rd a
Bend, OR 97701-6752
Phone
(541) 389-3300
Fax
(541) 389-8115
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 173416 NC Primary

Addresses

Primary practice location

2400Neneff Rd a
Bend, OR 97701-6752

Mailing address

2400Neneff Rd a
Bend, OR 97701-6752
Phone (541) 389-3300

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
I20150918001367 OR Practitioner - Obstetrics/Gynecology 1557510518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Cascade Womens Group P CGroup PAC ID 9638166796, 18 clinicians

Practice addresses (Care Compare)

2400 NE Neff Rd
Suite a
Bend, OR 97701-6752
Phone (541) 389-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173416NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Oregon PC Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
East Cascade Womens Group, P C Obstetrics & Gynecology CurrentSince Sep 1, 2015 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. PastSince Sep 1, 2015 Accepting new patients

Locations

2400 NE Neff Rd
Ste A
Bend, OR 97701
Phone (541) 389-3300

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/ECWG/api/FHIR/R4
  • Direct secure messaging: rgage24473@coipa.gardenplot.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1093001059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400NENEFF RD A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016752",
            "telephone_number": "541-389-3300",
            "fax_number": "541-389-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400NENEFF RD A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016752",
            "telephone_number": "541-389-3300",
            "fax_number": "541-389-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "REGAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "173416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.