KELLY D GEORGE M.D.
NPI 1265728117
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
5050 NE HOYT ST, SUITE 540, PORTLAND, OR 97213(503) 215-6600 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly D George M.d. NPPES

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

KELLY D GEORGE M.D. (NPI 1265728117) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2011).

NPPES Registry Identity

NPI1265728117
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY D GEORGECredential: M.D.
Location Address5050 NE HOYT ST, SUITE 540Portland, OR 97213-2991
Mailing AddressPo Box 3158Portland, OR 97208-3158
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateFebruary 4, 2022
✔ NPI 1265728117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5050 NE HOYT ST, Portland, OR 97213

Accepted 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

Kelly D George 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 ID9032137435
PECOS Enrollment IDI20140918002702
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 Kelly George reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
3060 SE HAWTHORNE BLVD
Portland, OR 97214
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group

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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier22 claims22 services$148.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
5050 NE HOYT ST
PORTLAND, OR 97213
Family Medicine
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 97213
Internal Medicine (Pulmonary Disease)
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5050 NE HOYT ST
PORTLAND, OR 97213
Surgery (Surgical Oncology)
5050 NE HOYT ST, SUITE 610
PORTLAND, OR 97213
Urology
5050 NE HOYT ST, SUITE 514
PORTLAND, OR 97213
Surgery
5050 NE HOYT ST, STE 511
PORTLAND, OR 97213
Internal Medicine
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213

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 Kelly George's NPI number?

The NPI number for Kelly George is 1265728117. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Kelly George located?

Kelly George practices at 5050 NE Hoyt St Suite 540, Portland, OR 97213. The listed phone number is (503) 215-6600.

What is Kelly George's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly George enrolled in Medicare?

Yes. Kelly George 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 Kelly George's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly George reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, 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 Kelly George's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly George accept?

Health plans from Kaiser Permanente list Kelly George 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 Kelly George was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.