DR. MACK K BANDLER (M.D.) – Diagnostic Radiology Physician, NPI 1609830199
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MACK K BANDLER (M.D.)
842, East Main Street, Medford, Jackson County, Oregon, 97501, United States
MEDFORD, OR 975047134
Phone: (541) 773-2493
Fax: (541) 779-3027
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: 2004-04-24
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 |
|---|---|---|---|---|
| I20040424000221 | I | Diagnostic Radiology | 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.
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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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97504)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OR | 71010 | X-ray of chest, 1 view, front | 379 | 348 |
| DIAGNOSTIC RADIOLOGY | OR | 71250 | CT scan chest | 22 | 22 |
| DIAGNOSTIC RADIOLOGY | OR | 73110 | X-ray of wrist, minimum of 3 views | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | OR | 74177 | CT scan of abdomen and pelvis with contrast | 15 | 15 |
| DIAGNOSTIC RADIOLOGY | OR | 76830 | Ultrasound pelvis through vagina | 17 | 16 |
| DIAGNOSTIC RADIOLOGY | OR | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 32 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Nurse Practitioner | CA | |
| Diagnostic Radiology | CA | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Diagnostic Radiology | AR | |
| Diagnostic Radiology, Interventional Radiology | OR |
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