Individual provider Active NPI

Shelby Payne

  • Diagnostic Radiology Physician
  • Bend, OR
National Provider Identifier
1467911297
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD227613 Issued in OR
Practice address
1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone
(541) 382-6633
NPI assigned
Mar 19, 2019
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD227613 OR Primary

Addresses

Primary practice location

1460 NE Medical Center Dr
Bend, OR 97701-6061

Mailing address

4832 T St
Sacramento, CA 95819-4831
Phone (813) 453-0816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CA, OR, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240712001673 UT Practitioner - Diagnostic Radiology 7719422872 Reassigns benefits to 1 organization
I20250822001823 CA Practitioner - Diagnostic Radiology 7719422872 Reassigns benefits to 2 organizations
I20251003003441 OR Practitioner - Diagnostic Radiology 7719422872 Reassigns benefits to 6 organizations
I20251016002841 CO Practitioner - Diagnostic Radiology 7719422872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Health DistrictGroup PAC ID 4284629221, 56 clinicians
Cascade Medical Imaging LLCGroup PAC ID 9537140108, 40 clinicians

Practice addresses (Care Compare)

Carbondale, CO 81623
Phone (541) 382-6633

Sacramento, CA 95819
Phone (541) 382-6633

1026 County Rd
Suite 112
Carbondale, CO 81623-9642
Phone (541) 947-2114

1460 NE Medical Ctr Dr
Bend, OR 97701-6061
Phone (541) 382-6633

3704 42ND Ave S
Minneapolis, MN 55406-2817
Phone (541) 382-6633

700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-2114

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Oct 1, 2025 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology Current Accepting new patients
University of Utah Adult Services CurrentSince Jun 1, 2024 Accepting new patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Lake Health District CurrentSince Jun 1, 2025 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Central Oregon Radiology Assoc PC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology Current Accepting new patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology Past Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology Past Accepting new patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology Past Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology Past Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology Past Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology Past Accepting new patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology Past Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

1460 NE Medical Center Dr
Bend, OR 97701
Phone (541) 598-3218

1460 NE Medical Center Dr
Ste 170
Bend, OR 97701

1460 NE Medical Center Dr
Ste 180
Bend, OR 97701
Phone (541) 408-7691

1693 SW Chandler Ave
Ste 120
Bend, OR 97702
Phone (541) 388-0673

1693 SW Chandler Ave
Ste 140
Bend, OR 97702
Phone (541) 388-0673

2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331

2500 NE Neff Rd
#1
Bend, OR 97701

2500 NE Neff Rd
Ste 120
Bend, OR 97701

61270 SE Coombs Pl
Ste 100
Bend, OR 97702
Phone (541) 408-9310

61270 SE Coombs Pl
Ste 150
Bend, OR 97702
Phone (541) 408-9313

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

700 S J St
Lakeview, OR 97630
Phone (541) 947-2114

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

384 SE Combs Flat Rd
Ste 1100
Prineville, OR 97754
Phone (541) 598-3221

1253 NW Canal Blvd
Ste 100
Redmond, OR 97756
Phone (541) 548-8131

1253 NW Canal Blvd
Ste 101
Redmond, OR 97756
Phone (541) 516-3804

1523 NW Canal Blvd
Ste 101
Redmond, OR 97756
Phone (541) 316-8791

1531 NW Canal Blvd
Ste 100
Redmond, OR 97756
Phone (541) 923-4202

1531 NW Canal Blvd
Ste 110
Redmond, OR 97756

127 S 500 E
Ste 400
Salt Lake City, UT 84102

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: spayne696299@direct.med.utah.edu

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 7

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1467911297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 T ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194831",
            "telephone_number": "813-453-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD227613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.