Dr. Stephanie Alice Trautman , MD
Dermatology • Bend, OR
2747 Ne Conners Ave
Bend, OR 977018738
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Stephanie Trautman is listed in NPPES under Dermatology.
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NPI assigned on May 24, 2007; this date does not establish years in practice.
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Published CMS data list 16,572 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J7345 — Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg: 6,200 service units.
- 17003 — Destruction of precancer skin growth, 2-14 growths: 2,651 service units.
- 99213 — Established patient outpatient office visit: 1,704 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 32 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,487 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Fluorouracil — 207 prescription fills, including refills.
- Ketoconazole — 187 prescription fills, including refills.
- Clobetasol Propionate — 182 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 28 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Dermatology in Bend, OR (2024, 11 clinicians with data). Median for this group: 4,593. Middle half: 2,540 to 11,184.
More Medicare Part B services than 95% of clinicians listed under Dermatology in Oregon (2024, 126 clinicians with data). Median for this group: 2,057. Middle half: 1,160 to 4,076.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 17,783 in 2020 to 16,572 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2747 Ne Conners Ave
Bend, OR 977018738
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Mountain West Derm - Blackhart Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Texas Southwestern Medical School At Dallas
2004
What Public CMS Data Show
Dermatology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
2,206 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $550,026 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $394,588 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,831 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$599,878 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,455.29 across 134 records.
By nature of payment
- Food and Beverage: $2,360.30 across 133 records.
- Education: $94.99 across 1 record.
Reporting-company totals (3 largest of 14)
- ABBVIE INC.: $536.73 across 51 records.
- Eli Lilly and Company: $389.60 across 12 records.
- Janssen Pharmaceuticals, Inc: $277.64 across 17 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
22 years (graduated 2004)
CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Trautman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Trautman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Bend and Oregon
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Dermatology in Bend, OR (2024, 11 clinicians with data). Median for this group: 4,593. Middle half: 2,540 to 11,184.
More Medicare Part B services than 95% of clinicians listed under Dermatology in Oregon (2024, 126 clinicians with data). Median for this group: 2,057. Middle half: 1,160 to 4,076.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Dermatology in Bend, OR (2024, 11 clinicians with data). Median for this group: $286,254. Middle half: $151,460 to $638,414.
A higher Medicare-allowed amount than 90% of clinicians listed under Dermatology in Oregon (2024, 126 clinicians with data). Median for this group: $147,565. Middle half: $84,105 to $276,237.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Dermatology in Bend, OR (2024, 11 clinicians with data). Median for this group: $206,826. Middle half: $104,585 to $456,464.
A higher Medicare payment amount than 90% of clinicians listed under Dermatology in Oregon (2024, 126 clinicians with data). Median for this group: $103,571. Middle half: $59,175 to $195,310.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Dermatology in Bend, OR (2024, 11 clinicians with data). Median for this group: 988. Middle half: 284 to 1,083.
More Part D prescriptions than 95% of clinicians listed under Dermatology in Oregon (2024, 152 clinicians with data). Median for this group: 578. Middle half: 265 to 988.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Dermatology in Bend, OR (2024, 11 clinicians with data). Median for this group: $145,696. Middle half: $10,854 to $262,882.
A higher Part D drug cost than 85% of clinicians listed under Dermatology in Oregon (2024, 152 clinicians with data). Median for this group: $89,792. Middle half: $9,913 to $313,945.
13 active clinicians are listed under Dermatology with a practice address in Bend, OR (210 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Bend
7.7% of these 13 clinicians have the CMS telehealth indicator.
84.6% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 17,783 in 2020 and 16,572 in 2024.
- 2020: 17,783
- 2021: 20,706
- 2022: 18,714
- 2023: 18,225
- 2024: 16,572
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $510,778 in 2020 and $550,026 in 2024.
- 2020: $510,778
- 2021: $472,133
- 2022: $560,965
- 2023: $515,651
- 2024: $550,026
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Paid by Medicare
Paid by Medicare stayed about the same: $360,514 in 2020 and $394,588 in 2024.
- 2020: $360,514
- 2021: $329,011
- 2022: $394,567
- 2023: $364,021
- 2024: $394,588
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 38% from 1,080 in 2020 to 1,487 in 2024.
- 2020: 1,080
- 2021: 1,062
- 2022: 1,203
- 2023: 1,334
- 2024: 1,487
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30-day fills
30-day fills increased 43% from 1,278 in 2020 to 1,831 in 2024.
- 2020: 1,278
- 2021: 1,170
- 2022: 1,403
- 2023: 1,619
- 2024: 1,831
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Part D drug cost
Part D drug cost increased 88% from $319,567 in 2020 to $599,878 in 2024.
- 2020: $319,567
- 2021: $311,479
- 2022: $376,206
- 2023: $382,214
- 2024: $599,878
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $588.76 in 2021 to $2,455.29 in 2025.
- 2021: $588.76
- 2022: $1,146.04
- 2023: $1,917.58
- 2024: $2,694.76
- 2025: $2,455.29
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 134 records totaling $2,455.29.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
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Opzelura | General | $133.74 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
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EBGLYSS | General | $125.00 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
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EBGLYSS | General | $115.68 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
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NEMLUVIO | General | $108.38 |
| Janssen Pharmaceuticals, Inc |
Education
In-kind items and services
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TREMFYA | General | $94.99 |
| Organon LLC |
Food and Beverage
In-kind items and services
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VTAMA | General | $62.70 |
| BioWound Solutions, Inc. |
Food and Beverage
In-kind items and services
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bio-ConneKt | General | $35.70 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $33.18 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Bimzelx | General | $32.26 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
TALTZ | General | $31.92 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
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NEMLUVIO | General | $29.41 |
| Organon LLC |
Food and Beverage
In-kind items and services
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HADLIMA | General | $29.00 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Bimzelx | General | $28.88 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $28.06 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Bimzelx | General | $27.82 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
|
ANZUPGO | General | $27.00 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $25.62 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Bimzelx | General | $25.15 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
COSENTYX | General | $24.74 |
| Organon LLC |
Food and Beverage
In-kind items and services
|
HADLIMA | General | $24.29 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $23.40 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Bimzelx | General | $23.38 |
| Organon LLC |
Food and Beverage
In-kind items and services
|
HADLIMA | General | $23.36 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $23.29 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $23.26 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J7345
Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg
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6,200 | 28 | $3.06 | $1.63 |
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17003
Destruction of precancer skin growth, 2-14 growths
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2,651 | 578 | $19.00 | $6.47 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
1,704 | 1,343 | $198.11 | $87.30 |
|
88305
Pathology examination of tissue using a microscope, intermediate complexity
|
1,263 | 912 | $209.98 | $53.88 |
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17000
Destruction of precancer skin growth, 1 growth
|
1,049 | 834 | $169.32 | $49.44 |
|
95044
Test for allergy using skin patch
|
1,034 | 14 | $14.28 | $4.72 |
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17110
Destruction of skin growth, 1-14 growths
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611 | 536 | $278.76 | $104.14 |
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96900
Application of ultraviolet light to skin
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467 | 35 | $54.04 | $24.09 |
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11102
Biopsy of related skin growth, first growth
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298 | 278 | $202.58 | $77.34 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
271 | 245 | $285.08 | $123.15 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
159 | 140 | $120.74 | $54.36 |
|
17261
Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
|
107 | 91 | $306.00 | $124.05 |
|
96372
Injection of drug or substance under skin or into muscle
|
74 | 15 | $44.48 | $13.85 |
|
96567
Application of light to destroy precancer skin growth
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70 | 57 | $272.37 | $131.10 |
|
17262
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
|
66 | 52 | $373.32 | $161.88 |
|
17281
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
|
58 | 52 | $381.48 | $162.99 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
56 | 56 | $272.98 | $107.20 |
|
17004
Destruction of precancer skin growth, 15 or more growths
|
53 | 40 | $381.48 | $161.56 |
|
88304
Pathology examination of tissue using a microscope, moderately low complexity
|
44 | 42 | $82.50 | $39.11 |
|
17271
Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
|
43 | 40 | $350.88 | $145.86 |
|
11103
Biopsy of related skin growth, each additional growth
|
40 | 36 | $125.00 | $47.74 |
|
11104
Punch biopsy, first skin growth
|
39 | 35 | $300.00 | $119.07 |
|
J7308
Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
|
39 | 33 | $408.00 | $381.74 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
32 | 16 | $15.30 | $0.97 |
|
12032
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
|
25 | 25 | $654.84 | $274.48 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Fluorouracil | Fluorouracil | 207 | 6,545 | $13,991.47 | 188 |
| Ketoconazole | Ketoconazole | 187 | 6,686 | $2,928.49 | 98 |
| Clobetasol Propionate | Clobetasol Propionate | 182 | 5,854 | $7,745.18 | 95 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 146 | 4,228 | $998.16 | 108 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 82 | 2,589 | $1,329.21 | 51 |
| Hydrocortisone | Hydrocortisone | 68 | 1,407 | $289.88 | 56 |
| Metronidazole | Metronidazole | 65 | 2,237 | $3,366.17 | 46 |
| Dupixent Pen | Dupilumab | 64 | 1,988 | $263,659.02 | — |
| Mupirocin | Mupirocin | 60 | 1,216 | $517.32 | 47 |
| Valacyclovir | Valacyclovir Hcl | 46 | 1,112 | $1,437.40 | 26 |
| Minoxidil | Minoxidil | 43 | 2,709 | $278.67 | 13 |
| Doxycycline Hyclate | Doxycycline Hyclate | 42 | 1,548 | $1,142.07 | 17 |
| Clindamycin Phosphate | Clindamycin Phosphate | 42 | 1,410 | $1,607.36 | 20 |
| Finasteride | Finasteride | 38 | 2,040 | $283.10 | 11 |
| Tretinoin | Tretinoin | 21 | 736 | $1,566.95 | 17 |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 20 | 598 | $978.17 | 16 |
| Calcipotriene | Calcipotriene | 18 | 620 | $2,448.85 | 12 |
| Tacrolimus | Tacrolimus | 18 | 645 | $2,213.83 | 16 |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 17 | 1,260 | $410.16 | — |
| Dupixent Syringe | Dupilumab | 16 | 448 | $59,416.65 | — |
| Gabapentin | Gabapentin | 15 | 421 | $91.10 | — |
| Nystatin | Nystatin | 15 | 404 | $196.47 | 13 |
| Prednisone | Prednisone | 13 | 184 | $32.85 | 13 |
| Fluconazole | Fluconazole | 13 | 614 | $83.55 | — |
| Valchlor | Mechlorethamine Hcl | 13 | 390 | $73,592.08 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207N00000X
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - DERMATOLOGY
I20080728000186
OR
7315010196
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Mountain West Derm - Blackhart Pllc
2747 Ne Conners Ave, Bend, OR 977018738
Phone: 5413825712
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Dermatology
Doctor of Medicine (M.D.)
Physician Assistant
Dermatology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated May 24, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Dermatology Specialists in Bend
- Dr. James Hoesly, MD
- Dr. Joshua May, MD
- Dr. Leslie Carter, MD
- Dr. Karla Pivik, DO
- Kyle Kaltwasser
- Dr. Mark Hall, MD
Mailing Address
19638 Hollygrape St
Bend, OR 977022688
Phone: 3602613111