Thomas John Dernbach, PA-C
NPI 1962465211ActiveIndividual· Physician Assistant· Bend, OR
Physician Assistant (PA-C) in Bend, Oregon, trained at University of Nebraska College of Medicine (class of 1999). 324 Medicare patients in 2024, $36,278 paid; all of their 149 Part D prescriptions were generic.
Overview
| NPI | 1962465211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 8, 2006 |
| Last updated in NPPES | Mar 4, 2025 |
| Certified by provider | Mar 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA01208 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 324 |
|---|---|
| Services billed | 2,999 across 56 procedure codes |
| Paid by Medicare | $36,278 |
Part D prescriptions in 2024
| Prescriptions (claims) | 149 · 151 30-day fills |
|---|---|
| Patients | 119 |
| Total drug cost | $798.55 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Physician Assistant |
Medical group
- St Charles Health System IncBend, OR · 377 clinicians
Hospital affiliation
- St Charles Medical Center - BendBend, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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