SARAH KUPPENBENDER KONG FNP-C
NPI 1013434646
Nurse Practitioner - Family in Portland, OR

Active since August 24, 2017PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
4411 SW VERMONT ST, PORTLAND, OR 97219(503) 494-9992 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2019, Aug 24, 2017 (2 updates tracked since 2017).

About Sarah Kuppenbender Kong Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH KUPPENBENDER KONG FNP-C (NPI 1013434646) is an individual family provider in Portland, Oregon, licensed in Oregon (201706888NP-PP) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in The Dalles.

NPPES Registry Identity

NPI1013434646
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH KUPPENBENDER KONGCredential: FNP-C
Location Address4411 SW VERMONT STPortland, OR 97219-1020
Mailing Address12960 Sw Douglas StPortland, OR 97225-4548 · (503) 551-9099
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2017
Enumeration DateAugust 24, 2017
Last NPPES UpdateApril 25, 20192 updates tracked since enumeration
NPI 1013434646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 201706888NP-PP
4411 SW VERMONT ST, Portland, OR 97219

Secondary Practice Location 1

Location 11620 E 12th StThe Dalles, OR 97058-3213 · Phone (541) 296-9151 · Fax (541) 296-9156

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sarah Kuppenbender Kong Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577839067
PECOS Enrollment IDI20171027002643
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
4411 SW VERMONT ST
PORTLAND, OR 97219
Family Medicine
4411 SW VERMONT ST
PORTLAND, OR 97219
Family Medicine
4411 SW VERMONT ST, OHSU GABRIEL PARK FAMILY HEALTH CENTER
PORTLAND, OR 97219
Pharmacist
4411 SW VERMONT ST
PORTLAND, OR 97219
Physician Assistant
4411 SW VERMONT ST
PORTLAND, OR 97219
Family Medicine
4411 SW VERMONT ST
PORTLAND, OR 97219
Family Medicine
4411 SW VERMONT ST
PORTLAND, OR 97219
Social Worker (Clinical)
4411 SW VERMONT ST
PORTLAND, OR 97219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Kong's NPI number?

The NPI number for Sarah Kong is 1013434646. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Sarah Kong located?

Sarah Kong practices at 4411 SW Vermont St, Portland, OR 97219. The listed phone number is (503) 494-9992.

What is Sarah Kong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sarah Kong enrolled in Medicare?

Yes. Sarah Kong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sarah Kong affiliated with any hospitals?

According to CMS data, Sarah Kong is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Sarah Kong was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.