Active NPI 1750769949 Individual Practitioner Male Practitioner

Kyle Kaltwasser

Dermatology • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyle Kaltwasser is a certified Dermatology practicing in Bend, OR. With approximately 11 years of clinical experience since graduating from University Of Texas At Austin Dell Medical School in 2015, Kyle Kaltwasser delivers high-quality medical care to the local community at 1501 NE MEDICAL CENTER DR.

Kyle Kaltwasser maintains professional affiliations with Bend Memorial Clinic Pc, Oliver Street 5.01(A) Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 Ne Medical Center Dr

Bend, OR 977016051

Telephone 5413824900

Associated Practice Facility / Clinic

🏢 Bend Memorial Clinic Llp Facility NPI 1174581060

Medicare Profile & Education

Medical School

University Of Texas At Austin Dell Medical School

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Bend, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -7.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Bend, OR (217 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaltwasser (11 Years) 11 Yrs

Bend Specialty Average (18.5 Years) 18.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,048	316	$23.00	$6.88
99213 Established patient office or other outpatient visit, typically 15 minutes	768	512	$309.00	$95.15
17000 Destruction of skin growth	557	407	$231.00	$54.67
17110 Destruction of up to 14 skin growths	291	246	$388.00	$116.55
11102 Tangential biopsy of single skin lesion	239	199	$341.00	$93.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	99	$435.00	$133.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	100	$192.00	$59.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$379.00	$116.86
11103 Biopsy of related skin growth, each additional growth	96	48	$171.00	$53.02
17004 Destruction of precancer skin growth, 15 or more growths	42	35	$570.00	$176.39
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	35	32	$506.00	$137.13
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$246.00	$74.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$567.00	$176.03
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	19	$614.00	$178.28
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	22	$1032.00	$306.08
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	20	$567.00	$159.34
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	20	$608.00	$164.85
69100 Biopsy of ear	16	15	$325.00	$87.53
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$833.00	$129.37
10060 Simple or single drainage of skin abscess	12	11	$433.00	$134.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,854	300	$23.00	$6.78
99213 Established patient office or other outpatient visit, typically 15 minutes	749	505	$297.00	$91.69
17000 Destruction of skin growth	500	371	$223.00	$52.64
17110 Destruction of up to 14 skin growths	289	235	$378.00	$111.98
11102 Tangential biopsy of single skin lesion	273	215	$338.00	$93.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	147	129	$186.00	$57.51
11103 Biopsy of related skin growth, each additional growth	143	67	$168.00	$51.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	97	$420.00	$128.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$369.00	$114.44
17004 Destruction of precancer skin growth, 15 or more growths	67	53	$562.00	$173.08
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$238.00	$73.07
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	46	40	$598.00	$170.28
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	43	30	$492.00	$124.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$547.00	$169.96
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	26	$594.00	$160.82
10040 Acne surgery	22	20	$387.00	$111.29
69100 Biopsy of ear	22	20	$321.00	$69.81
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	16	$1011.00	$294.04
10060 Simple or single drainage of skin abscess	17	13	$417.00	$128.77
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	15	$554.00	$136.43
11104 Punch biopsy, first skin growth	13	11	$419.00	$124.09
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$813.00	$125.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,723	296	$23.00	$7.04
99213 Established patient office or other outpatient visit, typically 15 minutes	648	467	$295.00	$93.28
17000 Destruction of skin growth	506	374	$221.00	$57.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	345	269	$184.00	$58.35
11102 Tangential biopsy of single skin lesion	229	200	$338.00	$101.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	158	158	$365.00	$115.26
17110 Destruction of up to 14 skin growths	152	137	$374.00	$117.37
11103 Biopsy of related skin growth, each additional growth	98	54	$169.00	$52.64
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$237.00	$75.02
17004 Destruction of precancer skin growth, 15 or more growths	79	56	$554.00	$174.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	42	$416.00	$131.58
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	37	29	$591.00	$164.68
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	22	$587.00	$152.82
69100 Biopsy of ear	32	32	$319.00	$82.28
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	24	19	$485.00	$118.84
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	17	$544.00	$147.09
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	12	$675.00	$186.05
10040 Acne surgery	14	13	$382.00	$116.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$543.00	$171.21
11104 Punch biopsy, first skin growth	14	14	$420.00	$133.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$1000.00	$317.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,091	329	$21.06	$6.78
99213 Established patient office or other outpatient visit, typically 15 minutes	609	448	$289.95	$94.26
17000 Destruction of skin growth	535	406	$212.92	$56.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	323	270	$179.13	$58.16
11102 Tangential biopsy of single skin lesion	240	213	$335.33	$106.84
11103 Biopsy of related skin growth, each additional growth	114	64	$171.01	$55.51
17110 Destruction of up to 14 skin growths	114	97	$365.74	$114.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$358.23	$115.54
17004 Destruction of precancer skin growth, 15 or more growths	86	71	$532.46	$173.70
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$234.65	$75.81
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	50	39	$575.00	$153.57
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	39	31	$578.95	$156.99
69100 Biopsy of ear	30	27	$320.00	$74.65
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	20	$663.96	$210.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$396.65	$134.57
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	17	$479.00	$128.25
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$608.00	$197.98
11104 Punch biopsy, first skin growth	14	14	$420.00	$127.07
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$536.00	$150.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	207	45	$17.26	$6.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	81	$275.46	$111.99
11102 Tangential biopsy of single skin lesion	70	70	$241.26	$97.17
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$193.52	$77.48
17000 Destruction of skin growth	61	60	$160.20	$52.52
99213 Established patient office or other outpatient visit, typically 15 minutes	58	49	$198.66	$77.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$273.85	$109.80
17110 Destruction of up to 14 skin growths	36	36	$302.94	$114.35
11103 Biopsy of related skin growth, each additional growth	13	12	$130.15	$55.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	142	36	$10.00	$5.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$165.00	$109.57
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$115.00	$77.25
17000 Destruction of skin growth	52	51	$105.00	$48.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	46	$165.00	$110.00
11102 Tangential biopsy of single skin lesion	43	41	$153.00	$93.16
17110 Destruction of up to 14 skin growths	30	30	$170.00	$110.45
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$115.00	$75.14
11103 Biopsy of related skin growth, each additional growth	15	12	$83.00	$54.25

Medical Specialties & State Licenses

CMS Verified: 2026-01-25

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OR MD224801

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.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License TX R8921

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500863701 (OR)

Commercial Insurance / Payer ID Ptan

R274147 (OR)

Hospital & Practice Group Affiliations

Bend Memorial Clinic Pc

1501 Ne Medical Ctr Dr, Bend, OR 977016051

Phone: 5413822811

Oliver Street 5.01(A) Inc

4301 Garth Rd, Baytown, TX 775213158

Phone: 2814208400

Secondary Practice Locations

301 University Blvd

Galveston, TX 77555

Phone: 4097473376

301 University Blvd

Galveston, TX 77555

Phone: 4097473376

17300 El Camino Real Ste 103

Houston, TX 770582743

Phone: 2814807546

20311 Kuykendahl Rd

Spring, TX 77379

Phone: 8327173376

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Jennifer Herr , FNP

Nurse Practitioner - Family

NPI 1003350505

Family Nurse Practitioner

Calli Rogowitz , PA

Physician Assistant

NPI 1003471590

Physician Assistant

Dr. Kurt Andreason , MD

Ophthalmology

NPI 1013990027

Doctor of Medicine (M.D.)

Deona Kasten-Stubbs , FNP

Nurse Practitioner - Family

NPI 1023202314

Family Nurse Practitioner

Gregory Lang , PA-C

Physician Assistant

NPI 1023369527

Physician Assistant (Certified)

Dr. Jeremiah Lanford , MD

Psychiatry & Neurology - Neurology

NPI 1033230800

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location January 25, 2026

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413824900)

📍

Updated Business Mailing Address January 25, 2026

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413824900)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2026

Dermatology (License #MD224801 in OR)

📍

Updated Practice Location February 02, 2021

Registered at 17300 EL CAMINO REAL STE 103, HOUSTON, TX 770582743 (Tel: 2814807546)

📍

Updated Business Mailing Address February 02, 2021

Registered at 17300 EL CAMINO REAL STE 103, HOUSTON, TX 770582743 (Tel: 2814807546)

📍

Updated Practice Location June 11, 2019

Registered at 20311 KUYKENDAHL RD, SPRING, TX 77379 (Tel: 8327173376)

📍

Updated Business Mailing Address June 11, 2019

Registered at 20311 KUYKENDAHL RD, SPRING, TX 773793324 (Tel: 8327173376)

📍

Updated Practice Location September 20, 2018

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 77555 (Tel: 4097473376)

📍

Updated Business Mailing Address September 20, 2018

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775550783 (Tel: 4097473376)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2018

Dermatology (License #R8921 in TX)

✅

NPI Profile Active May 08, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 08, 2015

Registered at 6550 FANNIN ST, SMITH TOWER, SUITE 1001, HOUSTON, TX 770302717 (Tel: 7137254587)

📍

Updated Business Mailing Address May 08, 2015

Registered at 6550 FANNIN ST, SMITH TOWER, SUITE 1001, HOUSTON, TX 770302717 (Tel: 7137254587)

👤

Provider Name / Credentials Updated May 08, 2015

Recorded as KYLE KALTWASSER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 08, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750769949

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 08, 2015

Last Update: January 25, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1501 Ne Medical Center Dr

Bend, OR 977016051

Phone: 5413824900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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