DEREK BUNCH – Anesthesiology Physician, NPI 1548624414
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $171 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230609000986 | I | Anesthesiology | ME | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 15 | 15 | $0 |
| 01996 | Daily hospital management of continuous spinal drug administration | 15 | 12 | $0 |
Insurance plans in this area (ZIP 97355)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | ME | |
| 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 Y | ME | |
| - | ME | |
| A N E S T H E S I O L O G Y | ME | |
| - | ME | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| A N E S T H E S I O L O G Y | ME |
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