Active NPI
Anthony J Fillmore, MD
- Surgery Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- K5524
- Practice address
- 1501 NE Medical Center Dr
Bend, OR 97701-6051 - Phone
- (541) 382-2811
- NPI assigned
- Dec 15, 2005
- Last updated
- Jul 2, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD172665 | OR | |
| Surgery Physician | 208600000X | K5524 | TX | Primary |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | K5524 | TX |
Addresses
Primary practice location
1501 NE Medical Center Dr
Bend, OR 97701-6051
Mailing address
PO Box 6048
Bend, OR 97708-6048
Phone (541) 382-2811
Other practice location 1
2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Phone (541) 706-6915
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD172665 | Other | OR | OR-LICENSE |
| 150379901 | Medicaid | TX | |
| 500687985 | Medicaid | OR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | afillmore12769@directmsg.bmctotalcare.com | ||
| Direct Messaging Address | afillmore26812@secure.stcharleshealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 S Coulter St
Suite 100
Amarillo, TX 79106-1781
Phone (806) 212-4701
2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5524 | TX | MD | Surgery of the Hand (Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Arlington Physician Services PA | Surgery | Current | Accepting new patients |
| Bend Memorial Clinic PC | Surgery | Current | Accepting new patients |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| Baptist St. Anthony's Hospital Corporation | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
29358 Network Pl
Chicago, IL 60673
1303 NE Cushing Dr
Bend, OR 97701
Phone (541) 318-0858
1303 NE Cushing Dr
Ste 200
Bend, OR 97701
Phone (514) 318-0858
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2395
2200 NE Neff Rd
Ste 302
Bend, OR 97701
Phone (541) 706-4220
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
480 NE A St
Madras, OR 97741
Phone (541) 475-4800
384 SE Combs Flat Rd
Ste 1200
Prineville, OR 97754
Phone (541) 447-6263
1245 NW 4th St
Ste 101
Redmond, OR 97756
1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
Interoperability endpoints
- afillmore12769@directmsg.bmctotalcare.com
- afillmore26812@secure.stcharleshealthcare.org
- tfillmore904648@ahs.direct-ci.com
Organizations & group practices 8
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.
-
dba St. Charles Medical Group
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1457696916
-
- Obstetrics & Gynecology Physician
- Mansfield, TX
- NPI 1093144610
Surgery
-
dba Bend Memorial Clinic PC dba Summit Health
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
-
dba The Center at St. Charles Medical Equipment
- Specialist
- Bend, OR
- NPI 1700697935
-
dba St. Charles Medical Supply - Redmond
- Oxygen Equipment & Supplies (DME)
- Redmond, OR
- NPI 1427140870
-
dba BSA Health System
- Vascular & Interventional Radiology Physician
- Amarillo, TX
- NPI 1376510347
Hospital & facility affiliations 6
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
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1407191984
-
dba Childress Regional Medical Center
- General Acute Care Hospital
- Childress, TX
- NPI 1326079534
-
dba Childress Regional Medical Center
- Clinic/Center
- Memphis, TX
- NPI 1477078517
Hospital
-
dba Childress Regional Medical Center
- Clinic/Center
- Paducah, TX
- NPI 1619493954
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1982680518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6048",
"city": "BEND",
"state": "OR",
"postal_code": "977086048",
"telephone_number": "541-382-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 NE MEDICAL CENTER DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016051",
"telephone_number": "541-382-2811"
}
],
"practiceLocations": [
{
"address_1": "2200 NE Neff Rd Ste 302",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977014279",
"country_code": "US",
"telephone_number": "541-706-6915",
"fax_number": "541-706-6733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILLMORE",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD172665",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "K5524",
"primary": true
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "TX",
"license": "K5524",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OR-LICENSE",
"identifier": "MD172665",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150379901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500687985",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "afillmore12769@directmsg.bmctotalcare.com",
"affiliation": "N",
"address_1": "1501 NE Medical Center Dr",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977016051",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "afillmore26812@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2200 NE Neff Rd Ste 302",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977014279",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 2, 2025; 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.