Keegan John McClary, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD186930 Issued in OR

Practice address

1140 SW Simpson Ave Ste 100
Bend, OR 97702

Phone

(541) 388-2333

Fax

(541) 388-0930

NPI assigned

Apr 19, 2014

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physical Medicine and Rehabilitation

Education

Oregon Health Sciences University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

High Desert Sports and Spine LLCGroup PAC ID 3971941154, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keegan.mcclary.1@30625.direct.athenahealth.com

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.

• High Desert Sports and Spine, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Bend, OR
  • NPI 1073376695
  Medicare reassignment Care Compare group NPD
• High Desert Sports and Spine, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bend, OR
  • NPI 1700730116
  NPD

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

• Cascade Healthcare Community Inc

  dba NW High Desert Sleep Center Bend

  • Sleep Disorder Diagnostic Clinic/Center
  • Bend, OR
  • NPI 1164675963

  Hospital

  Care Compare affiliation
• St. Charles Health System, Inc.

  dba St. Charles Bend

  • General Acute Care Hospital
  • Bend, OR
  • NPI 1982621447
  Care Compare affiliation

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

{
    "created_epoch": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1578983300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090670",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SW SIMPSON AVE STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74B Centennial Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97401",
            "country_code": "US",
            "telephone_number": "541-686-3791",
            "fax_number": "541-284-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74B Centennial Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97401",
            "country_code": "US",
            "telephone_number": "541-686-3791",
            "fax_number": "541-284-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 E Superior St",
            "address_2": "Suite 1600",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112654",
            "country_code": "US",
            "telephone_number": "312-238-2870",
            "fax_number": "312-238-1219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74B Centennial Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97401",
            "country_code": "US",
            "telephone_number": "541-686-3791",
            "fax_number": "541-284-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74B Centennial Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97401",
            "country_code": "US",
            "telephone_number": "541-686-3791",
            "fax_number": "541-284-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLARY",
        "first_name": "KEEGAN",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-19",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "MD186930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth E McCann, LMT
• Hannah McCarthy, DMD
• Amanda Westfall McCarty, DPM
• Clara D. McClane, MSW
• Ashley McClary
• McCleery Chiropractic Health Centre PC
• Daniel Michael McCleery, D.C.
• Jennifer Holly McCleery, PA-C
• Matthew L McCleery, DMD
• James H McClelland, M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bend, OR
• Providers in Bend, OR by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.

Verify at the official NPI Registry.