Active NPI 1639507288 Individual Practitioner Female Practitioner

Tracy Kennelley , PA-C

Physician Assistant • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tracy Kennelley, PA-C is a certified Physician Assistant practicing in Bend, OR. With approximately 13 years of clinical experience since completing medical education in 2013, Tracy Kennelley delivers high-quality medical care to the local community at 2200 NE NEFF RD STE 200.

Tracy Kennelley is affiliated with St Charles Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Ne Neff Rd Ste 200

Bend, OR 977014281

Telephone 5413823344

Fax 5413821681

Associated Practice Facility / Clinic

🏢 Central Oregon Magnetic Resonance Imaging Llc Facility NPI 1023826120

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bend, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +0.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

186 Specialists

Practicing in Bend, OR (2106 Statewide)

Telehealth Adoption Rate

29.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kennelley (13 Years) 13 Yrs

Bend Specialty Average (12.5 Years) 12.5 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	246	146	$151.33	$40.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	151	110	$271.06	$65.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	83	82	$497.25	$107.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$710.67	$143.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	147	73	$133.00	$40.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg	120	12	$1.00	$0.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	52	$249.00	$65.52
99213 Established patient office or other outpatient visit, typically 15 minutes	56	56	$232.00	$74.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	53	$354.00	$106.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$472.00	$107.53
99284 Emergency department visit with moderate level of medical decision making	30	30	$457.47	$99.60
71046 X-ray of chest, 2 views	22	22	$68.00	$22.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$370.00	$92.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$699.00	$143.65
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	16	16	$68.00	$40.55
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$31.00	$6.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	254	250	$220.80	$75.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$336.00	$92.32
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	78	78	$62.00	$40.68
71046 X-ray of chest, 2 views	72	71	$62.00	$22.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	72	$328.67	$106.40
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring	40	40	$976.00	$281.38
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	31	31	$28.00	$5.13
0124A Fee covid-19 vac 13 res	30	30	$84.00	$32.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$516.00	$131.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	15	$79.00	$11.86
99285 Emergency department visit for life threatening or functioning severity	11	11	$1063.00	$143.28
99284 Emergency department visit with moderate level of medical decision making	11	11	$614.00	$99.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	169	169	$219.00	$75.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	75	$323.00	$108.39
71046 X-ray of chest, 2 views	53	51	$60.00	$22.27
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	33	33	$27.00	$6.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$325.00	$93.50
0003A Adm sarscov2 30mcg/0.3ml 3rd	21	21	$45.00	$33.26
73630 X-ray of foot, minimum of 3 views	12	12	$62.00	$25.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	163	$213.00	$62.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	82	$314.00	$91.93
71046 X-ray of chest, 2 views	46	46	$58.00	$21.10
J1885 Injection, ketorolac tromethamine, per 15 mg	28	11	$1.00	$0.60
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	27	27	$26.00	$8.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$316.00	$90.25
71101 X-ray of ribs on side of body, minimum of 3 views	15	15	$67.00	$26.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	14	$74.00	$12.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	115	107	$338.21	$52.25
99284 Emergency department visit with moderate level of medical decision making	101	99	$640.78	$99.08
99285 Emergency department visit for life threatening or functioning severity	97	96	$942.04	$145.90
93042 Interpretation and report of electrical activity of heart using 1-3 leads	23	23	$39.00	$5.98
99291 Critical care, first 30-74 minutes	13	13	$1238.00	$187.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	112	107	$295.77	$56.72
99285 Emergency department visit for life threatening or functioning severity	106	102	$745.66	$158.82
99284 Emergency department visit with moderate level of medical decision making	71	71	$490.00	$107.71
93042 Interpretation and report of electrical activity of heart using 1-3 leads	31	29	$30.29	$6.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	130	128	$673.70	$143.77
99283 Emergency department visit with low level of medical decision making	92	90	$270.35	$51.44
99284 Emergency department visit with moderate level of medical decision making	79	76	$446.71	$97.52
93042 Interpretation and report of electrical activity of heart using 1-3 leads	46	45	$30.00	$5.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$273.00	$87.58

Medical Specialties & State Licenses

CMS Verified: 2026-07-08

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA167858

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CA 51221

Hospital & Practice Group Affiliations

St Charles Health System Inc

211 Nw Larch Ave, Redmond, OR 977561357

Phone: 5415482164

St Charles Health System Inc

655 Nw Jackpine Ave, Redmond, OR 977561334

Phone: 5415266661

St Charles Health System Inc

1253 Nw Canal Blvd, Redmond, OR 977561334

Phone: 5417065880

St Charles Health System Inc

2500 Ne Neff Rd, Bend, OR 977016015

St Charles Health System Inc

2500 Ne Neff Rd, Bend, OR 977016015

Phone: 5417067715

Secondary Practice Locations

1150 N Indian Canyon Dr

Palm Springs, CA 922624872

Phone: 7603236511

Practice Associates & Co-Workers

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

40 Associated Practitioners

David Kirkpatrick , PA

Physician Assistant - Medical

NPI 1003138256

Physician Assistant

Dr. Matthew Lilley , MD

Orthopaedic Surgery

NPI 1003166612

Doctor of Medicine (M.D.)

Dr. James Verheyden , MD

Orthopaedic Surgery - Hand Surgery

NPI 1013912591

Doctor of Medicine (M.D.)

Rachel Kosek

Physician Assistant

NPI 1043807894

Wendy Benage , ATC, R

Specialist

NPI 1053350033

Certified Athletic Trainer, R

Christine Goodall , PA-C

Physician Assistant - Surgical

NPI 1053869685

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location July 08, 2026

Registered at 2200 NE NEFF RD STE 200, BEND, OR 977014281 (Tel: 5413823344)

📍

Updated Practice Location August 30, 2023

Registered at 2200 NE NEFF RD STE 302, BEND, OR 977014279 (Tel: 5417066915)

📍

Updated Practice Location June 26, 2023

Registered at 2275 NE DOCTORS DR STE 6, BEND, OR 977016015 (Tel: 5417066915)

📍

Updated Business Mailing Address June 26, 2023

Registered at PO BOX 6095, BEND, OR 977086095 (Tel: 5417065922)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2023

Physician Assistant (License #51221 in CA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2022

Physician Assistant (License #PA167858 in OR)

📍

Updated Practice Location May 29, 2020

Registered at 61250 SE COOMBS PL, BEND, OR 977023704 (Tel: 5417065930)

✅

NPI Profile Active October 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2013

Registered at 1150 N INDIAN CANYON DR, PALM SPRINGS, CA 922624872 (Tel: 7603236511)

📍

Updated Business Mailing Address October 17, 2013

Registered at PO BOX 13388, PALM DESERT, CA 922553388

👤

Provider Name / Credentials Updated October 17, 2013

Recorded as TRACY KENNELLEY, P.A-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2013

Physician Assistant (License #51221 in CA)

🟢

Initial NPI Registration & Enumeration October 17, 2013

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: 1639507288

Entity Type:

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

Enumeration Date: October 17, 2013

Last Update: July 08, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6095

Bend, OR 977086095

Phone: 5417065922

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.