Theodore R Ford (NPI# 1205940830, PAC ID# 7113027442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1205940830 |
| PAC ID by PECOS | 7113027442 |
| Professional Enrollment ID | I20070716000214 |
| Full Name | Theodore R Ford |
| Organization Legal Name | BEND SPINE AND PAIN SPECIALISTS, LLC |
| Address |
929 Sw Simpson Ave Suite 250 Bend OR 97702-3599 |
| Phone Number | 5416471645 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY, PAIN MANAGEMENT |
| Group Practice PAC ID | 3971677816 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 929 Sw Simpson Ave, Suite 250, Bend, OR 97702-3599 | 5416471645 | BEND SPINE AND PAIN SPECIALISTS, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 49% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 0% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 98% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% | |
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 46% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 71% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 91% |
| Organization Legal Name | BEND SPINE AND PAIN SPECIALISTS, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Ruth Sheldon Platt | Pain Management | Bend Spine and Pain Specialists, LLC | 929 Sw Simpson Ave, Suite 250, Bend, OR 97702-3599 |
| Street Address |
929 SW SIMPSON AVE SUITE 250 |
| City | BEND |
| State | OR |
| Zip | 97702-3599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eden M Miller | Family Medicine | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| David J Kelly | Family Medicine | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Breanna L Percell | Family Medicine | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Dawn Headings | Nurse Practitioner | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Whitney K Drew | Physician Assistant | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Jamie J Freeman | Physician Assistant | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Travis L Monchamp | Endocrinology | Endocrinology Services Northwest, LLC | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 |
| Derek T Earl | Family Medicine | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Eric Luther Sorenson | Physician Assistant | Praxis Medical Group Inc | 929 Sw Simpson Ave, High Lakes Health Care, Bend, OR 97702-3118 |
| Catherine Ruth Sheldon Platt | Pain Management | Bend Spine and Pain Specialists, LLC | 929 Sw Simpson Ave, Suite 250, Bend, OR 97702-3599 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ray J Gertler | Psychologist, Clinical | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| Alan Werkman | Clinical Social Worker | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| David J Goldstein | Psychologist, Clinical | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| Ellen M Eisman | Psychologist, Clinical | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| Judith A Clements | Clinical Psychologist | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
| Travis A Sammon | Clinical Social Worker | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1130 | |
| Anne Van Dusen | Clinical Social Worker | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1130 | |
| Jillian Sammon | Clinical Social Worker | 15 Sw Colorado Ave, 350 Life Balance Bend LLC, Bend, OR 97702-1130 | |
| Emmy W Lawrason-kobobel | Osteopathic Manipulative Medicine | Bend Osteopathic Care PC | 147 Sw Shevlin Hixon Dr, Bend, OR 97702-1137 |
| Gary L Gallagher | Plastic and Reconstructive Surgery | 777 Sw Mill View Way, Suite 100, Bend, OR 97702-1140 | |
| Find all physicians in zip 97702 | |||
| City | BEND |
| Zip Code | 97702 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | BEND + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Theodore R Ford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.