Praxis Medical Group, INC – Multi-Specialty Clinic/Center, NPI 1821068164
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Praxis Medical Group, INC
PO BOX 670
BEND, OR 977090670
Phone: (541) 389-7741
Fax: (541) 278-8376
Type: Mailing
Inspire Early Learning Center - Westside, 929, Southwest Simpson Avenue, Bend, Deschutes County, Oregon, 97702, United States
SUITE 300
BEND, OR 977023599
Phone: (541) 389-7741
Fax: (541) 278-8376
Type: Location
PO BOX 1517
PENDLETON, OR 978010410
Phone: (877) 708-1119
Fax: (541) 278-8349
Type: Mailing
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: 2022-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (220 days ago).
Enrollment records
4
Earliest due date
2025-10-31
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 |
|---|---|---|---|---|
| O20040128000241 | O | Clinic/Group Practice | OR | TBD |
| O20100614000879 | O | Clinic/Group Practice | ID | TBD |
| O20140305001172 | O | Multi-Specialty - Physician | OR | 2025-10-31 |
| O20220131001703 | O | Clinic/Group Practice | WA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 97709)
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