NPIMap

Individual provider Active NPI

Wayne K. Nelson, MD

  • Vascular Surgery Physician
  • Bend, OR
National Provider Identifier
1992909766
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD161330 Issued in OR
Practice address
1550 NE 27TH St Ste 100
Bend, OR 97701-7728
Phone
(541) 313-8111
Fax
(541) 313-8112
NPI assigned
Jun 13, 2007
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X N1798 TX
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X MD161330 OR Primary

Addresses

Primary practice location

1550 NE 27TH St Ste 100
Bend, OR 97701-7728

Mailing address

1550 NE 27TH St Ste 110
Bend, OR 97701-7728
Phone (541) 313-8111

Other practice location 1

1080 Mount Bachelor Dr
Bend, OR 97702-3280
Phone (541) 313-8111

Other practice location 2

1550 NE 27th St Ste 110
Bend, OR 97701
Phone (541) 313-8111

Other identifiers 5

IdentifierTypeStateIssuer
DPS F0163850OtherTXTEXAS DPS NUMBER
P01229162OtherORMEDICARE RAILROAD
500659802MedicaidOR
N1798OtherTXTEXAS MEDICAL LISCENSE
MD161330OtherOROREGON MEDICAL LISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130724000031 OR Practitioner - Vascular SurgeryPractitioner - General Surgery 7810161056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Mayo Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oregon Vascular Specialists LLCGroup PAC ID 8022386663, 11 clinicians

Practice addresses (Care Compare)

1550 NE 27TH St
Suite 100
Bend, OR 97701-7760
Phone (541) 313-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
85.1 of 100Reported as group
Quality
65.33
Promoting interoperability
100
Improvement activities
40
Cost
75.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal28
Leg revascularization (restoring blood flow)98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harney District Hospital CurrentSince May 1, 2021 Accepting new patients
Harney District Hospital Current Accepting new patients
Central Oregon Surgical Institute, LLC CurrentSince Sep 20, 2020 Accepting new patients
Oregon Vascular Specialists LLC Vascular Surgery CurrentSince Jan 25, 2017 Accepting new patients
Harney District Hospital CurrentSince May 1, 2021 Accepting new patients
Dermatology Health Specialists, PC PastSince Feb 15, 2021 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

1080 SW Mt Bachelor Dr
Bend, OR 97702
Phone (541) 313-8111

1550 NE 27th St
Ste 100
Bend, OR 97701
Phone (541) 313-8111

1550 NE 27th St
Ste 110
Bend, OR 97701
Phone (541) 262-4111

2600 NE Neff Rd
Bend, OR 97701
Phone (541) 706-3700

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

4052 S 6th St
Klamath Falls, OR 97603
Phone (541) 313-8111

3818 SW 21st St
Ste 201
Redmond, OR 97756
Phone (541) 313-8111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIHDD
  • Direct secure messaging: waynenelson@direct-address.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1992909766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NE 27TH ST STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017728",
            "telephone_number": "541-313-8111",
            "fax_number": "541-313-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NE 27TH ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017728",
            "telephone_number": "541-313-8111",
            "fax_number": "541-313-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Mount Bachelor Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023280",
            "country_code": "US",
            "telephone_number": "541-313-8111",
            "fax_number": "541-313-8112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 NE 27th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "97701",
            "country_code": "US",
            "telephone_number": "541-313-8111",
            "fax_number": "541-313-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "WAYNE",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N1798",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD161330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DPS NUMBER",
            "identifier": "DPS F0163850",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01229162",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500659802",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LISCENSE",
            "identifier": "N1798",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL LISCENSE",
            "identifier": "MD161330",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.