MS. ROBERTA G BELICH (PA-C) – Physician Assistant, NPI 1871877506
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. ROBERTA G BELICH (PA-C)
2500 NE NEFF RD
BEND, OR 977016015
Phone: (541) 382-4321
Type: Mailing
2200 Bryant Williams Dr
Suite 3
Klamath Falls, OR 976011120
Phone: (541) 274-8930
Fax: (541) 274-8935
Type: Location
2821 Daggett Ave Ste 100
Klamath Falls, OR 976011106
Phone: (541) 274-6733
Fax: (541) 274-2006
Type: Location
2500 NE Neff Rd
Bend, OR 977016015
Phone: (541) 382-4321
Type: Location
384 SE COMBS FLAT RD STE 1200
PRINEVILLE, OR 977542562
Phone: (541) 447-6263
Fax: (541) 447-8724
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: 2019-04-30
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 |
|---|---|---|---|---|
| I20120306000175 | I | Physician Assistant | OR | TBD |
| I20190430001611 | I | Physician Assistant | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97701)
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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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