DEREK BUNCH – Anesthesiology Physician, NPI 1548624414

DEREK BUNCH is a healthcare provider. based in Lebanon, Oregon. specializing in ANESTHESIOLOGY. They hold a License No. DO3480 (ME). The NPI Number for DEREK BUNCH is 1548624414

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DEREK BUNCH
NPI
1548624414
Phone
Not provided
Address
200 MULLINS DR
Enumeration Date
7 April 2016
Last Update Date
31 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2076201136
Graduation Year
2018 (8 years ago)
PAC ID
9335511559
Group Practice PAC ID
8325027428
Professional Enrollment ID
I20230609000986
Address ID
ME043308160AU35XXXPKWY402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

867 ANESTHESIOLOGY in OR

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Provider Addresses for DEREK BUNCH

  • College of Osteopathic Medicine of the Pacific-Northwest, 200, Mullins Drive, Lebanon, Linn County, Oregon, 97355, United States

    LEBANON, OR 973553983

    Phone:

    Type: Mailing

  • 324 GANNETT DR STE 200

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7800

    Fax: (207) 482-7898

    Type: Mailing

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 662-2526

    Fax: (207) 662-6236

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2023-01-14 • Largest payer in this snapshot: Boston Scientific Corporation ($171).

Total Amount

$171

General + Research + Ownership

Payments

1

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-14

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: 2023-06-09

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
I20230609000986IAnesthesiologyMETBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
01996Daily hospital management of continuous spinal drug administration1512$0
View full utilization report →

Insurance plans in this area (ZIP 97355)

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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: 8325027428View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YME
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)NH
-ME
A N E S T H E S I O L O G YME
-ME
A N E S T H E S I O L O G YME
-ME
Certified Registered Nurse Anesthetist (Crna)ME
A N E S T H E S I O L O G YME

Reviews

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Frequently asked questions

Does DEREK BUNCH have a public NPI I can cite?
Public records show DEREK BUNCH under NPI 1548624414.
Is DEREK BUNCH currently accepting referrals based on NPI status?
Registry metadata lists DEREK BUNCH as active.
How should patients interpret DEREK BUNCH's specialty?
The extract shows Anesthesiology Physician for DEREK BUNCH. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DEREK BUNCH?
DEREK BUNCH is associated with Lebanon, Oregon in the same public data insurers reference.
Who maintains DEREK BUNCH's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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