Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891749149 Individual Practitioner Male Practitioner

Dr. Kevin Michael Reavis , MD

Surgery • Portland, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Reavis, MD is a certified Surgery practicing in Portland, OR. With approximately 27 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 1999, Dr. Reavis delivers high-quality medical care to the local community at 4805 NE GLISAN ST STE 6N60.

Dr. Reavis maintains professional affiliations with The Oregon Clinic, Pc, Providence Health And Services Oregon and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, established patient outpatient office visit, new 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

4805 Ne Glisan St Ste 6n60

Portland, OR 972132933

Telephone 5039358379
Fax 5039358940
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Portland, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +6.1 yrs vs City Avg
City Avg: 20.9 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
177 Specialists

Practicing in Portland, OR (555 Statewide)

Telehealth Adoption Rate
23.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
83.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Reavis (27 Years) 27 Yrs
Portland Specialty Average (20.9 Years) 20.9 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
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
52 51 $1310.00 $109.22
99213 Established patient office or other outpatient visit, typically 15 minutes
33 30 $313.09 $92.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
33 33 $760.21 $220.56
91010 Study of esophagus to assess movement
30 30 $769.00 $234.16
91037 Monitoring and recording of esophageal function through nasal tube with electrode
27 27 $582.00 $178.75
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall
21 21 $1635.00 $485.25
43249 Balloon dilation of esophagus using an endoscope
17 16 $3879.00 $142.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 11 $441.00 $121.80

Medical Specialties & State Licenses

CMS Verified: 2025-09-18
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD24248

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35087725

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2676297 (OH)
Medicaid State Provider ID
1891749149 (WA)
Medicaid State Provider ID
227282 (OR)

Hospital & Practice Group Affiliations

The Oregon Clinic, Pc

5050 Ne Hoyt, Portland, OR 972132990

Phone: 5032396673

Providence Health And Services Oregon

4805 Ne Glisan St, Portland, OR 972132933

Providence Health And Services Oregon

440 Nw Division St, Gresham, OR 970305506

Phone: 5032159500

The Oregon Clinic, Pc

4805 Ne Glisan, Portland, OR 972132933

Secondary Practice Locations

9155 Sw Barnes Rd Ste 735

Portland, OR 972256634

Phone: 5039358379

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1245587823

Doctor of Medicine (M.D.)

NPI 1629573555

Doctor of Medicine (M.D.)

NPI 1851786727

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 18, 2025

Registered at 4805 NE GLISAN ST STE 6N60, PORTLAND, OR 972132933 (Tel: 5039358379)

📍
Updated Business Mailing Address December 07, 2023

Registered at 541 NE 20TH AVE STE 225, PORTLAND, OR 972322895 (Tel: 5039632801)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2021

Surgery (License #35087725 in OH)

NPI Profile Active September 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2013

Registered at 4805 NE GLISAN ST, SUITE 6N60, PORTLAND, OR 972132933 (Tel: 5032810561)

📍
Updated Business Mailing Address September 19, 2013

Registered at 847 NE 19TH AVE, SUITE 300, PORTLAND, OR 972322684 (Tel: 5039632801)

👤
Provider Name / Credentials Updated September 19, 2013

Recorded as KEVIN REAVIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2013

Surgery (License #MD24248 in OR)

🟢
Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kevin Reavis. Be the first to share your experience!

Sign in to leave a review for Dr. Kevin Reavis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1891749149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2006
Last Update: September 18, 2025
Sole Proprietor: No

Mailing Address

541 Ne 20th Ave Ste 225

Portland, OR 972322895

Phone: 5039632801

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.