Thomas Lee Allumbaugh, MD
Individual provider Active NPI Family Medicine Physician · Bend, OR
NPI 1114959210 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1114959210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD24468 (OR)
- Practice address
- 61250 SE Coombs PL
Bend, OR 97702 - Phone
- (541) 706-5935
- Fax
- (541) 706-5936
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Charles Health System Inc
Practice addresses (Care Compare)
211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164
51781 Huntington Rd
La Pine, OR 97739-1118
Phone (541) 666-7920
61250 SE Coombs PL
Family Care Clin
Bend, OR 97702-3704
Phone (541) 706-5935
Hospital & facility affiliations
- St. Charles Home Health Services
- Mission Home Health of Bend
- Partners Home Health
- St Charles Medical Center - Bend
- St Charles Medical Center Prineville
- St Charles Madras
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040407001313 | OR | Practitioner - Family Practice | 1850384488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24468 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current |
Accepting new patients | |
| St. Charles Health System, Inc. | Family Medicine | Current |
Accepting new patients |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
61250 SE Coombs Pl
Bend, OR 97702
Phone (541) 706-5930
2042 NE Williamson Ct
Ste 100
Bend, OR 97701
Phone (541) 526-6603
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
213 NW Larch Ave
Ste A
Redmond, OR 97756
Phone (541) 504-7635
1523 NW Canal Blvd
Redmond, OR 97756
Phone (541) 383-3668
213 NW Larch Ave
Ste B
Redmond, OR 97756
Phone (541) 504-7626
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD24468 | OR | Yes |
Addresses
Primary practice location
61250 SE Coombs PL
Bend, OR 97702
Mailing address
61250 SE Coombs PL
Bend, OR 97702
Phone (541) 706-5935
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227346 | Medicaid | OR | |
| 11197862 | Other | OR | CAQH ID |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tallumbaugh13675@secure.stcharleshealthcare.org |
Other providers in Bend, OR
- Melina Renee Allen
- Stephen W Allen
- Gabrielle Ananda Allender
- Eunice Allison-Quick
- Raphael M Allred
- Jessica Almanza Govea
- Ravi Almeter
- Almost Family, LLC
- Aloe Wellness LLC
- Alpenaura Holistic Health LLC
All providers in Bend, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.