MICHAEL C WIDMER (M.D) – Interventional Cardiology Physician, NPI 1124092051

MICHAEL C WIDMER (M.D) is a healthcare provider. based in Bend, Oregon. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D. They hold a License No. MD22936 (OR). The NPI Number for MICHAEL C WIDMER (M.D) is 1124092051

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL C WIDMER (M.D)
NPI
1124092051
Phone
(541) 389-7741
Address
PO BOX 670
Enumeration Date
15 February 2006
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5413822811
Graduation Year
1990 (36 years ago)
PAC ID
6406769496
Group Practice PAC ID
7214936533
Professional Enrollment ID
I20031111000874
Address ID
OR977016051BE1501XDRXX500

Contacts

Secure Messaging
mwidmer17114@directmsg.bmctotalcare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

341 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OR

Provider Addresses for MICHAEL C WIDMER (M.D)

  • PO BOX 670

    BEND, OR 977090670

    Phone: (541) 389-7741

    Fax: (541) 278-8375

    Type: Mailing

  • 1501 NE MEDICAL CENTER DR

    BEND, OR 977016051

    Phone: (541) 382-2811

    Type: Location

  • 2500 NE Neff Rd

    Bend, OR 977016015

    Phone: (541) 388-1636

    Fax: (541) 388-1719

    Type: Location

  • Southwest Simpson Avenue, Bend, Deschutes County, Oregon, 97702, United States

    BEND, OR 97702

    Phone: (541) 389-7741

    Fax: (541) 278-8375

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $675.

Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Novo Nordisk Inc ($224).

Total Amount

$675

General + Research + Ownership

Payments

15

Total payment records

General Amount

$675

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031111000874ICardiovascular Disease (Cardiology)ORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes410250$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report354320$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function298280$0
J2785Injection, regadenoson, 0.1 mg19248$0
99204New patient office or other outpatient visit, 45-59 minutes143143$0
View full utilization report →

Insurance plans in this area (ZIP 97709)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214936533View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR
Physician AssistantOR
O P H T H A L M O L O G YNM
Internal MedicineOR
U R O L O G YTX
Nurse PractitionerOR
Family PracticeOR
Internal MedicineOR
Diagnostic RadiologyMD

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL C WIDMER (M.D)'s NPI?
Yes. MICHAEL C WIDMER (M.D) is listed with NPI 1124092051 in the public NPI dataset.
Does the file indicate MICHAEL C WIDMER (M.D) is practicing under active NPI?
Directory data currently reports MICHAEL C WIDMER (M.D) as active.
What healthcare role does MICHAEL C WIDMER (M.D) hold?
Scheduling teams often label MICHAEL C WIDMER (M.D) under Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL C WIDMER (M.D) based?
MICHAEL C WIDMER (M.D) is tied to Bend, Oregon in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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