Active NPI 1013955798 Individual Practitioner Male Practitioner

Dr. Kelly Dean Pridgen , MD

Emergency Medicine • Pendleton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Pridgen, MD is a registered healthcare professional specializing in Emergency Medicine in Pendleton, OR. Practice services are available at 1601 SE COURT AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1601 Se Court Ave

Pendleton, OR 978013217

Telephone 5412765121

Fax 5412783661

Associated Practice Facility / Clinic

🏢 St. Anthony Hospital Facility NPI 1922078096

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Pendleton, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 18.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Pendleton, OR (1105 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.3% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	80	78	$1313.25	$164.99
99284 Emergency department visit with moderate level of medical decision making	48	46	$889.31	$113.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	149	141	$1225.00	$115.33
99285 Emergency department visit for life threatening or functioning severity	138	129	$1819.00	$168.36
99283 Emergency department visit with low level of medical decision making	31	29	$821.00	$68.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	257	237	$1819.00	$168.19
99283 Emergency department visit with low level of medical decision making	77	70	$821.00	$68.88
99284 Emergency department visit with moderate level of medical decision making	75	74	$1225.00	$116.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	38	38	$34.00	$7.96
99291 Critical care, first 30-74 minutes	11	11	$2055.00	$206.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	274	240	$1819.00	$172.38
99283 Emergency department visit with low level of medical decision making	89	82	$821.00	$69.72
99284 Emergency department visit with moderate level of medical decision making	85	75	$1225.00	$118.49
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	50	48	$34.00	$8.10
99291 Critical care, first 30-74 minutes	13	13	$2055.00	$211.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	245	212	$1819.00	$169.43
99283 Emergency department visit with low level of medical decision making	71	66	$821.00	$63.28
99284 Emergency department visit with moderate level of medical decision making	62	60	$1225.00	$117.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	53	48	$34.00	$8.33
99291 Critical care, first 30-74 minutes	16	15	$2055.00	$218.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	238	216	$1819.00	$169.78
99283 Emergency department visit with low level of medical decision making	82	79	$821.00	$60.50
99284 Emergency department visit with moderate level of medical decision making	78	76	$1225.00	$114.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	42	41	$34.00	$8.38
99291 Critical care, first 30-74 minutes	11	11	$2055.00	$218.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	222	206	$1819.00	$169.15
99283 Emergency department visit with low level of medical decision making	85	80	$821.00	$60.74
99284 Emergency department visit with moderate level of medical decision making	79	74	$1225.00	$115.28
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	26	$34.00	$8.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	239	213	$1254.16	$202.18
99284 Emergency department visit with moderate level of medical decision making	126	116	$813.33	$136.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	89	83	$40.58	$10.54
99283 Emergency department visit with low level of medical decision making	66	65	$585.12	$69.70

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OR MD24109

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

181590 (OR)

Commercial Insurance / Payer ID Liwa

0224305 (OR)

Practice Associates & Co-Workers

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

15 Associated Practitioners

William Harris , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083675847

Certified Registered Nurse Anesthetist

Jacque Cobb , FNP

Nurse Practitioner - Family

NPI 1093587933

Family Nurse Practitioner

Dr. Brian Letts , MD

Emergency Medicine

NPI 1174526313

Doctor of Medicine (M.D.)

Francis Demers , CRNA

Nurse Anesthetist, Certified Registered

NPI 1184667230

Certified Registered Nurse Anesthetist

Dr. Carlotto Fisher , MD

Obstetrics & Gynecology

NPI 1205157732

Doctor of Medicine (M.D.)

Dr. Sheldon Wendler , MD

Emergency Medicine

NPI 1255379657

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2008

Registered at 1601 SE COURT AVE, PENDLETON, OR 978013217 (Tel: 5412765121)

📍

Updated Business Mailing Address March 05, 2008

Registered at 505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 980036328 (Tel: 2538386180)

👤

Provider Name / Credentials Updated March 05, 2008

Recorded as KELLY PRIDGEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2008

Emergency Medicine (License #MD24109 in OR)

🟢

Initial NPI Registration & Enumeration June 03, 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: 1013955798

Entity Type:

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

Enumeration Date: June 03, 2006

Last Update: March 05, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

505 S 336th St, Suite 600

Federal Way, WA 980036328

Phone: 2538386180

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.