JAMIE DAVID CONKLIN (MD) – Pulmonary Disease Physician, NPI 1467640961
Pulmonary Disease Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JAMIE DAVID CONKLIN (MD)
PO BOX 5579
BEND, OR 977085579
Phone: (541) 706-7715
Fax: (541) 598-3492
Type: Mailing
11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 468450025
Phone: (260) 266-5260
Fax: (260) 266-5279
Type: Location
2901 Squalicum Pkwy
Bellingham, WA 982251851
Phone: (360) 788-6112
Fax: (360) 527-9373
Type: Location
Saint Charles Medical Center, 2500, Northeast Neff Road, Bend, Deschutes County, Oregon, 97701, United States
BEND, OR 977016015
Phone: (541) 706-7715
Fax: (541) 598-3492
Type: Location
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: 2020-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110913000240 | I | Critical Care (Intensivists) | OR | TBD |
| I20200124000102 | I | Internal Medicine | TX | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 18 | 16 | $0 |
Insurance plans in this area (ZIP 97708)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | OR | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 60 | 57 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Orthopedic Surgery | NM | |
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| Hand Surgery | OR | |
| Diagnostic Radiology | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| General Surgery | OR |
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