Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952741779 Individual Practitioner Male Practitioner

Dr. Kyle Matthew Baltrusch , MD

Surgery - Plastic and Reconstructive Surgery • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Baltrusch, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Portland, OR. With approximately 11 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 2015, Dr. Baltrusch delivers high-quality medical care to the local community at 1200 NW NAITO PKWY STE 310.

Dr. Baltrusch is affiliated with Portland Plastic Surgery Group, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1200 Nw Naito Pkwy Ste 310

Portland, OR 972092829

Telephone 5032929200
Fax 5032929205
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Portland, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -2.5 yrs vs City Avg
City Avg: 13.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Portland, OR (24 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baltrusch (11 Years) 11 Yrs
Portland Specialty Average (13.5 Years) 13.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-07-19
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License OR MD205639

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500688755 (OR)

Hospital & Practice Group Affiliations

Portland Plastic Surgery Group, Llc

1200 Nw Naito Pkwy, Portland, OR 972092829

Phone: 5032929200

Practice Associates & Co-Workers

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

4 Associated Practitioners
Geneva Eagon , PA

Physician Assistant

NPI 1114533072

Physician Assistant

NPI 1730380999

Doctor of Medicine (M.D.)

Dr. Henry Zegzula , MD

Plastic Surgery

NPI 1811968639

Doctor of Medicine (M.D.)

Dr. Yale Popowich , MD

Plastic Surgery

NPI 1942231014

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 19, 2021

Registered at 1200 NW NAITO PKWY STE 310, PORTLAND, OR 972092829 (Tel: 5032929200)

📍
Updated Business Mailing Address July 19, 2021

Registered at 1200 NW NAITO PKWY STE 310, PORTLAND, OR 972092829 (Tel: 5032929200)

👤
Provider Name / Credentials Updated July 19, 2021

Recorded as KYLE BALTRUSCH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2021

Surgery (License #MD205639 in OR)

NPI Profile Active March 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2015

Registered at 3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 972393011 (Tel: 5034948220)

📍
Updated Business Mailing Address March 30, 2015

Registered at 3181 SW SAM JACKSON PARK RD, L-579, PORTLAND, OR 972393011 (Tel: 5034948220)

👤
Provider Name / Credentials Updated March 30, 2015

Recorded as KYLE BALTRUSCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 25, 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: 1952741779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2013
Last Update: July 19, 2021
Sole Proprietor: No

Mailing Address

1200 Nw Naito Pkwy Ste 310

Portland, OR 972092829

Phone: 5032929200

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.