BRUCE FERNSTROM (PA-C) – Surgical Physician Assistant, NPI 1255329967
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for BRUCE FERNSTROM (PA-C)
1130 NW 22nd Ave Ste 400
Portland, OR 972102971
Phone: (503) 413-6722
Type: Location
19250 SW 65th Ave Ste 235
Tualatin, OR 970627745
Phone: (503) 692-4820
Fax: (503) 612-0793
Type: Location
Cascadia Behavioral Healthcare Administrative Office, 847, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States
SUITE 300
PORTLAND, OR 972322684
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
10000, Southeast Main Street, Russellville, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97216, United States
SUITE 342
PORTLAND, OR 972162448
Phone: (503) 255-5524
Fax: (503) 255-5120
Type: Location
541 NE 20TH AVE STE 225
PORTLAND, OR 972322895
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
501 N GRAHAM ST STE 420
PORTLAND, OR 972272006
Phone: (503) 288-7303
Fax: (503) 288-3806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,592.
Total Amount is formed as General ($1,592) + Research ($0) + Ownership ($0) = $1,592.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,079).
Total Amount
$1,592
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,592
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,079 |
| ABBVIE INC. | $246 |
| ACCORD HEALTHCARE, INC. | $71 |
| Sumitomo Pharma America, Inc. | $60 |
| Teleflex LLC | $40 |
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: 2007-12-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071221000200 | I | Physician Assistant | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 74 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 47 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 45 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 97210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| - | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| Internal Medicine, Gastroenterology | OR | |
| Gastroenterology, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Qualified Audiologist | OR | |
| Physician Assistant | OR | |
| N E U R O S U R G E R Y | OR |
Reviews
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