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ANDREW D KROEKER M.D.
NPI 1194953471
Otolaryngology in Happy Valley, OR

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
9200 SE 91ST AVE STE 240, HAPPY VALLEY, OR 97086(541) 231-5343 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, Feb 4, 2022 (2 updates tracked since 2022).

About Andrew D Kroeker M.d. NPPES

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

ANDREW D KROEKER M.D. (NPI 1194953471) is an individual otolaryngology provider in Happy Valley, Oregon, licensed in Oregon (MD172862) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2009).

NPPES Registry Identity

NPI1194953471
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameANDREW D KROEKERCredential: M.D.
Location Address9200 SE 91ST AVE STE 240Happy Valley, OR 97086-3756
Mailing Address9200 Se 91st Ave Ste 240Happy Valley, OR 97086-3756 · (541) 231-5343
Phone(541) 231-5343
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2009
Enumeration DateJune 25, 2009
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1194953471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OR · MD172862
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSurgeryTaxonomy 208600000X · License MD172862 (OR)
9200 SE 91ST AVE STE 240, Happy Valley, OR 97086
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew D Kroeker M.d. 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 ID9335318872
PECOS Enrollment IDI20150925002418
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Kroeker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
1.5 mi
Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1174851505 (503) 659-2454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97086 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrew Kroeker's NPI number?

The NPI number for Andrew Kroeker is 1194953471. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Andrew Kroeker located?

Andrew Kroeker practices at 9200 SE 91st Ave Ste 240, Happy Valley, OR 97086. The listed phone number is (541) 231-5343.

What is Andrew Kroeker's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Andrew Kroeker enrolled in Medicare?

Yes. Andrew Kroeker 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.

Which organization bills Medicare for Andrew Kroeker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kroeker reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Kroeker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Kroeker accept?

Health plans from Kaiser Permanente list Andrew Kroeker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Kroeker was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.