Individual provider Active NPI

Theodore Rowe Ford, MD

  • Interventional Pain Medicine Physician
  • Bend, OR
National Provider Identifier
1205940830
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD19247 Issued in OR
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

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
072004MedicaidOR

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
I20070716000214 OR Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 7113027442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, 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

LicenseStateTypeSpecialty
MD19247ORMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Spine & Pain Specialists, LLC Interventional Pain Medicine CurrentSince Jun 18, 2008 Accepting new patients
Evergreen Oculofacial Plastic Surgery LLC PastSince Feb 1, 2024 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

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

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

Verify at the official NPI Registry.