Traci Lynn Clautice-Engle, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD21349 Issued in OR

Practice address

1460 NE Medical Center Dr
Bend, OR 97701-6061

Phone

(541) 382-6633

Fax

(541) 382-2719

NPI assigned

Nov 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Diagnostic Radiology

Education

University of Colorado School of Medicine, Denver, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Oregon Radiology Assoc PCGroup PAC ID 9335132091, 43 clinicians

Cascade Medical Imaging LLCGroup PAC ID 9537140108, 40 clinicians

Central Oregon Magnetic Resonance Imaging LLCGroup PAC ID 8224058003, 36 clinicians

Lake Health DistrictGroup PAC ID 4284629221, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047
• St Charles Medical Center Prineville Hospital, Prineville, OR, CCN 381313
• Wallowa Memorial Hospital Hospital, Enterprise, OR, CCN 381306
• Blue Mountain Hospital Hospital, John Day, OR, CCN 381305
• Harney District Hospital Hospital, Burns, OR, CCN 381307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lake Health District

  • Critical Access Hospital
  • Lakeview, OR
  • NPI 1376698522
  Medicare reassignment Care Compare group NPD
• Cascade Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Bend, OR
  • NPI 1932621588
  Medicare reassignment Care Compare group
• Central Oregon Magnetic Resonance Imaging LLC

  • Diagnostic Radiology Physician
  • Bend, OR
  • NPI 1114972155
  Medicare reassignment Care Compare group
• Central Oregon Radiology Assoc PC

  • Diagnostic Radiology Physician
  • Bend, OR
  • NPI 1477590081
  Medicare reassignment Care Compare group
• Bend Memorial Clinic PC

  • Family Medicine Physician
  • Bend, OR
  • NPI 1699827477
  Medicare reassignment NPD
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Medicare reassignment NPD
• Bend Memorial Clinic PC

  • Clinical Medical Laboratory
  • Bend, OR
  • NPI 1972144913
  NPD
• Central Oregon Magnetic Resonance Imaging LLC

  • Diagnostic Radiology Physician
  • Bend, OR
  • NPI 1003338963
  NPD
• Central Oregon Magnetic Resonance Imaging LLC

  • Diagnostic Radiology Physician
  • Bend, OR
  • NPI 1194596304
  NPD
• Morrow County Health District

  • Medicare Defined Swing Bed Hospital Unit
  • Heppner, OR
  • NPI 1770514481
  NPD
• Sky Lakes Medical Center Inc

  • Community/Retail Pharmacy
  • Klamath Falls, OR
  • NPI 1003654625
  NPD
• Cascade Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Madras, OR
  • NPI 1740690114
  NPD (past)

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

• Blue Mountain Hospital District

  • Critical Access Hospital
  • John Day, OR
  • NPI 1356414395
  Care Compare affiliation
• Cascade Healthcare Community Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Bend, OR
  • NPI 1164675963

  Hospital

  Care Compare affiliation
• Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
  • NPI 1285742338
  Care Compare affiliation
• Harney District Hospital

  • Multi-Specialty Clinic/Center
  • Burns, OR
  • NPI 1972113306

  Hospital

  Care Compare affiliation
• St. Charles Health System, Inc.

  • Critical Access Hospital
  • Prineville, OR
  • NPI 1710160445
  Care Compare affiliation
• St. Charles Health System, Inc.

  • General Acute Care Hospital
  • Bend, OR
  • NPI 1982621447
  Care Compare affiliation
• Wallowa County Health Care District

  • Critical Access Hospital
  • Enterprise, OR
  • NPI 1558366229
  Care Compare affiliation

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1114900438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-382-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-382-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUTICE-ENGLE",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD21349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Aspinwall Clark, M.D.
• Hannah Clarke
• Jeff Clason
• Jeff Bernard Clausen, CO
• Matthew P Clausen, MD
• Yvonne M Clayton, LMHC
• Clear Bright Counseling LLC
• Clear Choice Health Plans, Inc.
• Christina M Cleary, NP
• Amber Roselyn Clegg, LPC, CADC III

• Diagnostic Radiology Physician in Bend, OR
• Providers in Bend, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.