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Active NPI 1902461361 Individual Practitioner Male Practitioner

Dr. Kellen Earl Plomski , OD, MPH

Optometrist • Clackamas, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kellen Plomski, OD, MPH is a certified Optometrist practicing in Clackamas, OR. With approximately 7 years of clinical experience since completing medical education in 2019, Dr. Plomski delivers high-quality medical care to the local community at 12100 SE STEVENS CT STE 106.

Dr. Plomski is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12100 Se Stevens Ct Ste 106

Clackamas, OR 970864707

Telephone 8008132000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Clackamas, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -7.9 yrs vs City Avg
City Avg: 14.9 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
17 Specialists

Practicing in Clackamas, OR (975 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Plomski (7 Years) 7 Yrs
Clackamas Specialty Average (14.9 Years) 14.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
12 12 $251.00 $131.77
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $159.00 $93.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $230.00 $132.84

Medical Specialties & State Licenses

CMS Verified: 2026-01-14
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR 4447ATI

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

12100 Se Stevens Ct, Portland, OR 970864707

Phone: 8008132000

Secondary Practice Locations

9169 Sw Burnham St

Tigard, OR 972236105

Phone: 5036395115

2020 8th Ave

West Linn, OR 970684657

Phone: 5036521479

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nancy Waltz , MS CCC-SLP

Speech-Language Pathologist

NPI 1003054149

MSCCCSLP

Melissa Hill

Counselor - Addiction (Substance Use Disorder)

NPI 1003206236
NPI 1003251133

Doctor of Medicine (M.D.)

Rachael Scoones

Nurse Anesthetist, Certified Registered

NPI 1003524109
Danaya Hall , SWHNP

Nurse Practitioner

NPI 1003573825
Megan Martin , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1003579194

Master of Arts

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 14, 2026

Registered at 12100 SE STEVENS CT STE 106, CLACKAMAS, OR 970864707 (Tel: 8008132000)

📍
Updated Business Mailing Address January 14, 2026

Registered at 500 NE MULTNOMAH ST STE 100, PORTLAND, OR 972322031 (Tel: 8008132000)

📍
Updated Practice Location April 22, 2021

Registered at 9169 SW BURNHAM ST, TIGARD, OR 972236105 (Tel: 5036395115)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2021

Optometrist (License #4447ATI in OR)

NPI Profile Active May 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2019

Registered at 7421 SW BRIDGEPORT RD STE 200, TIGARD, OR 972247707 (Tel: 8669212392)

📍
Updated Business Mailing Address May 01, 2019

Registered at 14953 BOBS AVE NE, AURORA, OR 970029463 (Tel: 3602290441)

👤
Provider Name / Credentials Updated May 01, 2019

Recorded as KELLEN PLOMSKI, OD, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 01, 2019

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: 1902461361
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2019
Last Update: January 14, 2026
Sole Proprietor: No

Mailing Address

500 Ne Multnomah St Ste 100

Portland, OR 972322031

Phone: 8008132000

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.