TIMOTHY S BOLLOM (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1639179930
Sports Medicine (Orthopaedic Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
383 ORTHOPEDIC SURGERY in OR
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Provider Addresses for TIMOTHY S BOLLOM (MD)
Northeast Neff Road, Bend, Deschutes County, Oregon, 97701, United States
STE 200
BEND, OR 977014283
Phone: (541) 382-3344
Fax: (541) 382-1681
Type: Mailing
2200 NE Neff Rd
Ste 200
Bend, OR 977014283
Phone: (541) 382-3344
Fax: (541) 382-1681
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $608.
Total Amount is formed as General ($608) + Research ($0) + Ownership ($0) = $608.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Steelhead Surgical Inc ($182).
Total Amount
$608
General + Research + Ownership
Payments
21
Total payment records
General Amount
$608
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Steelhead Surgical Inc | $182 |
| Bioventus LLC | $101 |
| Stryker Corporation | $75 |
| Nalu Medical, Inc. | $49 |
| ConvaTec Inc. | $33 |
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: 2004-08-03
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 |
|---|---|---|---|---|
| I20040803001497 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,200 | 18 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,179 | 200 | $0 |
| 73564 | X-ray of knee, 4 or more views | 375 | 281 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 306 | 263 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 239 | 197 | $0 |
Insurance plans in this area (ZIP 97701)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NM | |
| Hand Surgery | OR | |
| Hospice/Palliative Care, Internal Medicine | OR | |
| Physician Assistant | OR | |
| Physician Assistant | UT | |
| Physician Assistant | OR | |
| Thoracic Surgery | MI | |
| Internal Medicine | OR | |
| General Surgery | OR | |
| Physician Assistant | TX |
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