Active NPI
Tyler Aspinwall Clark, M.D.
- Neurology Physician
- Bend, OR
National Provider Identifier
1447549183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD171002
- Practice address
- 2349 NE Conners Ave
Bend, OR 97701 - Phone
- (541) 317-0044
- Fax
- (541) 728-0707
- NPI assigned
- Apr 4, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD60737259 | WA | |
| Neurology Physician | 2084N0400X | MD171002 | OR | Primary |
Addresses
Primary practice location
2349 NE Conners Ave
Bend, OR 97701
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 339-5408
Other practice location 1
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
Other practice location 2
3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2026434 | Medicaid | WA |
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
- Neurology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2349 NE Conners Ave
Bend, OR 97701-6068
Phone (541) 317-0044
Hospital & facility affiliations
- St. Charles Home Health Services
- St Charles Medical Center - Bend
- St Charles Madras
- Sky Lakes Medical Center
- Harney District Hospital
- St Charles Medical Center Prineville
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.15 of 100
- Quality
- 84.07
- Improvement activities
- 40
- Cost
- 68.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD171002 | OR | MD | Neurology Physician |
| MD60737259 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bend Neurological Associates LLC | Neurology | Current | Accepting new patients |
Locations
2349 NE Conners Ave
Bend, OR 97701
Phone (541) 317-0044
Organizations & group practices 1
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.
-
- Neurology Physician
- Bend, OR
- NPI 1922316561
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- Critical Access Hospital
- Burns, OR
- NPI 1285742338
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
-
- Home Health Agency
- Bend, OR
- NPI 1144215542
-
- Home Health Agency
- Madras, OR
- NPI 1225226004
-
- Critical Access Hospital
- Madras, OR
- NPI 1356389894
-
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
- 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": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1447549183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-339-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2349 NE CONNERS AVE",
"city": "BEND",
"state": "OR",
"postal_code": "97701",
"telephone_number": "541-317-0044",
"fax_number": "541-728-0707"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-8311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3901 Hoyt Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982014918",
"country_code": "US",
"telephone_number": "425-339-5408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "TYLER",
"middle_name": "ASPINWALL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-04",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD60737259",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD171002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2026434",
"state": "WA"
}
],
"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 Jul 21, 2021; 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.