KELLY DEAN PRIDGEN MD
NPI 1013955798
Emergency Medicine in Pendleton, OR

Q: What is Kelly Pridgen's NPI number?

The NPI number for Kelly Pridgen is 1013955798. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Kelly Pridgen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Pridgen was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 03, 2006PECOS Enrolled

1601 SE COURT AVE, PENDLETON, OR 97801(541) 276-5121(541) 278-3661 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Dean Pridgen Md NPPES

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

KELLY DEAN PRIDGEN MD (NPI 1013955798) is an individual emergency medicine provider in Pendleton, Oregon, licensed in Oregon (MD24109) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013955798

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKELLY DEAN PRIDGENCredential: MD

Location Address1601 SE COURT AVEPendleton, OR 97801-3217

Mailing Address505 S 336th St, Suite 600Federal Way, WA 98003-6328 · (253) 838-6180 · Fax (253) 838-6418

Phone(541) 276-5121

Fax(541) 278-3661

Sole ProprietorNo

Enumeration DateJune 3, 2006

Last NPPES UpdateMarch 5, 2008

✔ NPI 1013955798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OR · MD24109

Definition

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.

1601 SE COURT AVE, Pendleton, OR 97801

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Other Identifiers 7

Medicare PINP00366332OR

Medicare PING8327017WA

Medicare PINP00370063OR

Medicare PINR131329OR

Other0224305OR · Liwa

Medicare UPING20977OR

Medicaid181590OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Dean Pridgen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

80 services78 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

48 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97801 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

Other Providers at the Same Location NPPES 15

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

MRS. JOETTE THOMAS :YOUNG PT

Physical Therapist