JOHN M STASSEN (MD) – Diagnostic Radiology Physician, NPI 1134296726

JOHN M STASSEN (MD) is a healthcare provider. based in Bend, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD29439 (OR). The NPI Number for JOHN M STASSEN (MD) is 1134296726

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M STASSEN (MD)
NPI
1134296726
Phone
(541) 382-6633
Address
1460 NE MEDICAL CENTER DR
Enumeration Date
29 November 2006
Last Update Date
2 March 2023

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
5413826633
Graduation Year
2003 (23 years ago)
PAC ID
4688778012
Group Practice PAC ID
9537140108
Professional Enrollment ID
I20090909000495
Address ID
OR977016061BE1460XDRXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

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Provider Addresses for JOHN M STASSEN (MD)

  • Northeast Medical Center Drive, Bend, Deschutes County, Oregon, 97701, United States

    BEND, OR 977016061

    Phone: (541) 382-6633

    Fax: (541) 382-2719

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-09-09

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
I20090909000495IDiagnostic RadiologyORTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml5,01453$0
A9585Injection, gadobutrol, 0.1 ml3,20036$0
72148Mri scan of lower spinal canal without contrast273190$0
71045X-ray of chest, 1 view247235$0
71046X-ray of chest, 2 views213205$0
View full utilization report →

Insurance plans in this area (ZIP 97701)

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Provider's Procedures

JOHN M STASSEN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR71250CT scan chest1919
DIAGNOSTIC RADIOLOGYOR73110X-ray of wrist, minimum of 3 views2221
DIAGNOSTIC RADIOLOGYOR73562X-ray of knee, 3 views1915
DIAGNOSTIC RADIOLOGYOR73630X-ray of foot, minimum of 3 views1413
DIAGNOSTIC RADIOLOGYOR74177CT scan of abdomen and pelvis with contrast108107

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: 9537140108View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Diagnostic RadiologyCA
Diagnostic RadiologyOR
Diagnostic RadiologyMD
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Diagnostic RadiologyCO

Reviews

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Frequently asked questions

Does JOHN M STASSEN (MD) have a public NPI I can cite?
Public records show JOHN M STASSEN (MD) under NPI 1134296726.
Should I treat JOHN M STASSEN (MD) as an active provider?
Patients and plans typically see JOHN M STASSEN (MD) as active in the national extract.
How should patients interpret JOHN M STASSEN (MD)'s specialty?
The extract shows Diagnostic Radiology Physician for JOHN M STASSEN (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to JOHN M STASSEN (MD)?
JOHN M STASSEN (MD) shows a connection to Bend, Oregon in registry-derived data.
Can I export JOHN M STASSEN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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