Individual provider Active NPI

Adam Peter Angeles, MD

  • Plastic and Reconstructive Surgery Physician
  • Bend, OR
National Provider Identifier
1336209345
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD26066 Issued in OR
Practice address
1239 NE Medical Center Dr Ste 240
Bend, OR 97701-7359
Phone
(541) 749-2822
Fax
(541) 749-2283
NPI assigned
Dec 11, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X GO78756 CA
Plastic and Reconstructive Surgery Physician 2086S0122X MD26066 OR Primary

Addresses

Primary practice location

1239 NE Medical Center Dr Ste 240
Bend, OR 97701-7359

Mailing address

431 NE Revere Ave
Ste 200
Bend, OR 97701-4192
Phone (541) 749-2282

Other practice location 1

235 S Canyon Blvd
John Day, OR 97845-1044
Phone (541) 749-2282

Other practice location 2

233 S Canyon Blvd
John Day, OR 97845-1044
Phone (541) 749-2282

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
I20050929001214 OR Practitioner - Plastic and Reconstructive Surgery 9537194337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of California, San Francisco School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1239 NE Medical Ctr Dr
Suite 240
Bend, OR 97701-7359
Phone (541) 749-2282

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.23
Promoting interoperability
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1029
Removal of skin lesions368

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GO78756CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Plastic & Reconstructive Surgery, LLC CurrentSince Jan 1, 2009 Accepting new patients
Bend Plastic & Reconstructive Surgery, P.C. Plastic and Reconstructive Surgery CurrentSince Jan 1, 2025 Accepting new patients
Invmd Plastic Surgery LLC Past Accepting new patients

Locations

1239 NE Medical Center Dr
Ste 240
Bend, OR 97701
Phone (541) 749-2282

2400 NE Neff Rd
Ste B
Bend, OR 97701
Phone (541) 323-4930

431 NE Revere Ave
Ste 200
Bend, OR 97701
Phone (541) 508-7973

233 S Canyon Blvd
John Day, OR 97845
Phone (541) 575-1263

235 S Canyon Blvd
John Day, OR 97845
Phone (541) 575-1263

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1336209345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NE REVERE AVE",
            "address_2": "STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014192",
            "telephone_number": "541-749-2282",
            "fax_number": "541-749-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 NE MEDICAL CENTER DR STE 240",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017359",
            "telephone_number": "541-749-2822",
            "fax_number": "541-749-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 S Canyon Blvd",
            "address_purpose": "LOCATION",
            "city": "John Day",
            "state": "OR",
            "postal_code": "978451044",
            "country_code": "US",
            "telephone_number": "541-749-2282",
            "fax_number": "541-749-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 S Canyon Blvd",
            "address_purpose": "LOCATION",
            "city": "John Day",
            "state": "OR",
            "postal_code": "978451044",
            "country_code": "US",
            "telephone_number": "541-749-2282",
            "fax_number": "541-749-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "ADAM",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "GO78756",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "MD26066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.