Active NPI
Karla S Pivik, D.O.
- Dermatology Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- DO164262
- Practice address
- 2450 NE Mary Rose PL Ste 201
Bend, OR 97701-7133 - Phone
- (541) 585-7546
- Fax
- (541) 582-7177
- NPI assigned
- Sep 19, 2012
- Last updated
- May 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | DO164262 | OR | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 5101020167 | MI |
Addresses
Primary practice location
2450 NE Mary Rose PL Ste 201
Bend, OR 97701-7133
Mailing address
2450 NE Mary Rose PL Ste 201
Bend, OR 97701-7133
Phone (541) 585-7546
Other practice location 1
111 NW Larch Ave
Redmond, OR 97756-1992
Phone (541) 585-7546
Other names 1
- Dr. Karla P Snider
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
- Dermatology
- Education
- Western University of Health Sciences College of Dental Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2239 NE Doctors Dr
Suite 100
Bend, OR 97701-7185
Phone (541) 585-7546
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 92 |
| Removal of skin lesions | 370 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 256 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020167 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juniper Dermatology LLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm - Blackhart PLLC | Dermatology | Current | Accepting new patients |
| Bend Dermatology Clinic LLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm - Blackhart PLLC | Dermatology | Past | Accepting new patients |
Locations
2239 NE Doctors Dr
Ste 100
Bend, OR 97701
Phone (541) 322-1794
2450 NE Mary Rose Pl
Ste 201
Bend, OR 97701
Phone (541) 317-0808
2747 NE Conners Ave
Bend, OR 97701
Phone (541) 322-1980
111 NW Larch Ave
Redmond, OR 97756
Phone (541) 923-4462
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.
-
- Dermatology Physician
- Bend, OR
- NPI 1134856404
-
dba Bend Dermatology Clinic
- Dermatology Physician
- Bend, OR
- NPI 1447764741
-
- Dermatology Physician
- Bend, OR
- NPI 1649244393
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
-
- Dermatology Physician
- Roseburg, OR
- NPI 1891467577
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1417207283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 NE MARY ROSE PL STE 201",
"city": "BEND",
"state": "OR",
"postal_code": "977017133",
"telephone_number": "541-585-7546",
"fax_number": "541-582-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 NE MARY ROSE PL STE 201",
"city": "BEND",
"state": "OR",
"postal_code": "977017133",
"telephone_number": "541-585-7546",
"fax_number": "541-582-7177"
}
],
"practiceLocations": [
{
"address_1": "111 NW Larch Ave",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977561992",
"country_code": "US",
"telephone_number": "541-585-7546",
"fax_number": "541-582-7177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIVIK",
"first_name": "KARLA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "DO164262",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5101020167",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARLA",
"last_name": "SNIDER",
"middle_name": "P",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
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 May 13, 2026; 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.