Active NPI
Theodore Rowe Ford, MD
- Interventional Pain Medicine Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MD19247
- Practice address
- 2542 NE Courtney Dr Ste 200G
Bend, OR 97701-7684 - Phone
- (541) 647-1645
- Fax
- (541) 647-1648
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | MD19247 | OR | Primary |
| Anesthesiology Physician | 207L00000X | MD19247 | OR |
Addresses
Primary practice location
2542 NE Courtney Dr Ste 200G
Bend, OR 97701-7684
Mailing address
2542 NE Courtney Dr Ste 200G
Bend, OR 97701-7684
Phone (541) 647-1645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072004 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Northwestern University Feinberg Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
66265 Gerking Market Rd
Bend, OR 97703-9080
Phone (541) 647-1645
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19247 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bend Spine & Pain Specialists, LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Evergreen Oculofacial Plastic Surgery LLC | Past | Accepting new patients |
Locations
929 SW Simpson Ave
Ste 250
Bend, OR 97702
Phone (541) 585-0505
2542 NE Courtney Dr
Ste 200G
Bend, OR 97701
Phone (541) 647-1645
2255 NW Shevlin Park Rd
Bend, OR 97703
Phone (541) 647-1645
2041 NE Williamson Ct
Ste B
Bend, OR 97701
Phone (541) 323-7546
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACJEAA/Endpoint/ACJEAA
- https://fhir4.healow.com/fhir/r4/ACJEAA
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Bend, OR
- NPI 1316104615
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Bend, OR
- NPI 1669133492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1205940830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 NE COURTNEY DR STE 200G",
"city": "BEND",
"state": "OR",
"postal_code": "977017684",
"telephone_number": "541-647-1645",
"fax_number": "541-647-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 NE COURTNEY DR STE 200G",
"city": "BEND",
"state": "OR",
"postal_code": "977017684",
"telephone_number": "541-647-1645",
"fax_number": "541-647-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "THEODORE",
"middle_name": "ROWE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OR",
"license": "MD19247",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD19247",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "072004",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.