Active NPI 1578509980 Individual Practitioner Male Practitioner

Dr. Kevin R Carpenter , MD

Family Medicine • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Carpenter, MD is a registered healthcare professional specializing in Family Medicine in Gresham, OR. Practice services are available at 440 NW DIVISION ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, blood test, clotting time. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

440 Nw Division St

Gresham, OR 970305506

Telephone 5032159500

Fax 5032159525

Associated Practice Facility / Clinic

🏢 Providence Health & Services - Oregon Facility NPI 1053419218

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Gresham, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.2 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

32 Specialists

Practicing in Gresham, OR (2953 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	126	$428.00	$96.42
36415 Insertion of needle into vein for collection of blood sample	125	86	$21.00	$8.33
85610 Blood test, clotting time	112	24	$30.00	$4.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	109	23	$78.00	$50.04
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$303.00	$70.77
71046 X-ray of chest, 2 views	16	15	$79.00	$22.73
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$99.00	$28.59
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$21.00	$6.70
G0008 Administration of influenza virus vaccine	11	11	$32.73	$30.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	160	$424.00	$92.57
36415 Insertion of needle into vein for collection of blood sample	173	107	$21.00	$2.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	145	28	$77.00	$43.82
85610 Blood test, clotting time	142	27	$30.00	$4.22
99213 Established patient office or other outpatient visit, typically 15 minutes	30	21	$301.00	$66.76
G0008 Administration of influenza virus vaccine	26	25	$30.00	$29.42
71046 X-ray of chest, 2 views	26	23	$78.00	$23.24
0124A Fee covid-19 vac 13 res	21	21	$60.00	$40.54
99495 Transitional care management services for problem of at least moderate complexity	17	13	$683.00	$107.43
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	14	$30.00	$29.40
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$20.00	$6.39
73562 X-ray of knee, 3 views	13	11	$107.00	$32.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	327	152	$431.00	$85.74
36415 Insertion of needle into vein for collection of blood sample	170	110	$21.00	$2.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	114	11	$77.00	$13.37
0004A Fee covid-19 vac 1 res	62	62	$60.00	$41.04
71046 X-ray of chest, 2 views	33	27	$77.00	$22.94
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	26	24	$21.00	$6.86
99495 Transitional care management services for problem of at least moderate complexity	25	20	$689.00	$213.96
G0008 Administration of influenza virus vaccine	20	20	$30.00	$17.75
73562 X-ray of knee, 3 views	17	15	$105.00	$31.22
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$97.00	$27.05
90662 Influenza vaccine split virus, preservative free	12	12	$30.00	$30.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	157	$346.00	$71.57
85610 Blood test, clotting time	134	11	$30.00	$4.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	126	11	$73.00	$13.31
36415 Insertion of needle into vein for collection of blood sample	89	72	$21.00	$2.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	11	$3.00	$1.37
71046 X-ray of chest, 2 views	33	26	$69.00	$21.44
G0008 Administration of influenza virus vaccine	30	30	$30.00	$17.47
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	29	29	$30.00	$19.52
99495 Transitional care management services for problem of at least moderate complexity	28	18	$588.00	$192.43
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$238.00	$52.14
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	20	18	$27.00	$8.97
81003 Automated urinalysis test	13	12	$26.00	$2.23
20610 Aspiration and/or injection of fluid from large joint	11	11	$209.09	$62.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	404	171	$346.00	$87.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	135	11	$72.00	$17.71
71046 X-ray of chest, 2 views	44	38	$66.00	$19.88
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	31	29	$27.00	$8.91
99495 Transitional care management services for problem of at least moderate complexity	27	20	$522.00	$168.15
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$236.00	$59.14
72100 X-ray of lower and sacral spine, 2-3 views	19	16	$80.00	$24.63
73030 X-ray of shoulder, minimum of 2 views	14	12	$66.00	$20.11
G0008 Administration of influenza virus vaccine	13	13	$30.00	$17.14
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$30.00	$18.65
73502 X-ray of hip, 2-3 views	13	13	$101.00	$30.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$371.00	$118.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	163	$344.00	$84.72
85610 Blood test, clotting time	114	22	$30.00	$4.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	113	23	$69.00	$17.35
99495 Transitional care management services for problem of at least moderate complexity	31	26	$524.00	$168.74
71046 X-ray of chest, 2 views	29	25	$62.01	$18.68
G0008 Administration of influenza virus vaccine	26	25	$30.00	$21.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	25	$30.00	$18.65
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	20	20	$27.00	$8.32
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$233.00	$56.12
G0009 Administration of pneumococcal vaccine	18	18	$81.00	$21.21
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$76.00	$23.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$374.00	$119.80
90670 Pneumococcal vaccine for injection into muscle	11	11	$306.36	$198.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	461	175	$342.00	$87.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	157	30	$64.00	$17.47
85610 Blood test, clotting time	123	27	$30.00	$5.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	12	$3.00	$1.80
71020 X-ray of chest, 2 views, front and side	39	33	$54.00	$17.46
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	38	$30.00	$18.16
G0008 Administration of influenza virus vaccine	37	37	$30.00	$26.27
G0009 Administration of pneumococcal vaccine	28	28	$81.00	$26.27
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$233.00	$60.61
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$27.00	$8.82
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$76.00	$24.79
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$144.27	$93.96
99495 Transitional care management services for problem of at least moderate complexity	15	12	$521.00	$166.58
90670 Pneumococcal vaccine for injection into muscle	13	13	$281.54	$186.17

Medical Specialties & State Licenses

CMS Verified: 2021-02-18

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License OR MD20344

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

150062 (OR)

Commercial Insurance / Payer ID Rr Medicare (Ph&s)-Pmg

080102978 (OR)

Practice Associates & Co-Workers

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

20 Associated Practitioners

Katie Ketterling-Thornburg , APRN, FNP-C

Nurse Practitioner - Family

NPI 1114489093

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Laura Vasquez Sanchez

Registered Nurse - Ambulatory Care

NPI 1114875861

Robert Mayer , AGPCNP

Nurse Practitioner - Gerontology

NPI 1154753457

Joel Oyama , FNP-C

Nurse Practitioner - Family

NPI 1154915338

Family Nurse Practitioner (Certified)

Amanda Hinojosa , RD

Dietitian, Registered

NPI 1285283358

Registered Dietitian

Dr. Robert Bailey , MD

Internal Medicine

NPI 1346288123

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2017

Registered at 440 NW DIVISION ST, GRESHAM, OR 970305506 (Tel: 5032159500)

📍

Updated Business Mailing Address February 20, 2017

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5032156494)

👤

Provider Name / Credentials Updated February 20, 2017

Recorded as KEVIN CARPENTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2017

Family Medicine (License #MD20344 in OR)

✅

NPI Profile Active April 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 13, 2012

Registered at 440 NW DIVISION ST, GRESHAM, OR 970305506 (Tel: 5032159500)

📍

Updated Business Mailing Address April 13, 2012

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5032156494)

👤

Provider Name / Credentials Updated April 13, 2012

Recorded as KEVIN CARPENTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2012

Family Medicine (License #MD20344 in OR)

🟢

Initial NPI Registration & Enumeration June 22, 2006

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: 1578509980

Entity Type:

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

Enumeration Date: June 22, 2006

Last Update: February 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3158

Portland, OR 972083158

Phone: 5032156494

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.