Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jack Edward Burgeson , MD

Pediatrics β€’ Bend, OR

Active NPI 1194214320 Individual Practitioner Male Practitioner
Practice location in NPPES

2200 Ne Professional Ct
Bend, OR 977016063

Call 5413823344 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2200 Ne Professional Ct

Bend, OR 977016063

Telephone 5413823344
Organization at the Same NPPES Address or Phone
Central Oregon Pediatric Associates Facility NPI 1457337834

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $125.00 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2018

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bend and Oregon

50 active clinicians are listed under Pediatrics with a practice address in Bend, OR (862 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bend

0% of these 50 clinicians have the CMS telehealth indicator.

0% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $125.00.

Manufacturer Payment Nature Product Type Amount ($)
ARS Pharmaceuticals Operations, Inc.
Food and Beverage
In-kind items and services
NEFFY General $125.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OR MD217757

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 35.147258

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES UT 11393172-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Victoria Anderson , PA-C

Physician Assistant

NPI 1316682958

Physician Assistant (Certified)

Dr. Aaron Askew , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1366428401

Doctor of Medicine (M.D.)

Aaron Ast , PA-C

Physician Assistant

NPI 1730360546

Physician Assistant (Certified)

Dr. Timothy Bollom , MD

Orthopaedic Surgery - Sports Medicine

NPI 1639179930

Doctor of Medicine (M.D.)

Dr. Grant Branam , DO

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1982097705

Doctor of Osteopathic Medicine (D.O.)

Dr. David Brown , MD

Orthopaedic Surgery

NPI 1730269341

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location September 11, 2024

Registered at 2200 NE PROFESSIONAL CT, BEND, OR 977016063 (Tel: 5413823344)

πŸ“
Updated Business Mailing Address September 11, 2024

Registered at 2200 NE PROFESSIONAL CT, BEND, OR 977016063 (Tel: 5413896313)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2024

Pediatrics (license number reported to NPPES: OH 35.147258)

πŸ“
Updated Practice Location July 27, 2023

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441951103 (Tel: 2164442200)

πŸ“
Updated Business Mailing Address July 27, 2023

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 2164442200)

πŸ“
Updated Business Mailing Address September 16, 2019

Registered at 81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131125 (Tel: 8016625701)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2019

Pediatrics (license number reported to NPPES: UT 11393172-1205)

βœ…
NPI Profile Active May 03, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 03, 2018

Registered at 100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131103 (Tel: 8016621000)

πŸ“
Business Mailing Address (Initial Record) May 03, 2018

Registered at 2835 WEBSTER AVE S, SAINT LOUIS PARK, MN 554161845 (Tel: 6122400493)

πŸ‘€
Provider Name / Credentials (Initial Record) May 03, 2018

Recorded as JACK BURGESON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 03, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1194214320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2018
Last Update: September 11, 2024
Sole Proprietor: No

Mailing Address

2200 Ne Professional Ct

Bend, OR 977016063

Phone: 5413896313

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.