MR. KAYNE MICHAEL MCCARTHY
NPI 1295318293
Ophthalmology in Portland, OR

Q: What is Kayne Mccarthy's NPI number?

The NPI number for Kayne Mccarthy is 1295318293. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Q: What is Kayne Mccarthy's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kayne Mccarthy was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment

1040 NW 22ND AVE STE 168, PORTLAND, OR 97210(503) 413-7022 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2026, Apr 28, 2021 (2 updates tracked since 2021).

On this page

About Mr. Kayne Michael Mccarthy NPPES

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

MR. KAYNE MICHAEL MCCARTHY (NPI 1295318293) is an individual ophthalmology provider in Portland, Oregon, licensed in Oregon (MD229530) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1295318293

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMR. KAYNE MICHAEL MCCARTHY

Location Address1040 NW 22ND AVE STE 168Portland, OR 97210-3036

Mailing AddressPo Box 3808Portland, OR 97208-3808 · (503) 413-3900 · Fax (503) 413-3710

Phone(503) 413-7022

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 28, 2021

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1295318293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OR · MD229530

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1040 NW 22ND AVE STE 168, Portland, OR 97210

Open in Google Maps ↗

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

Mr. Kayne Michael Mccarthy 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 ID6103395660

PECOS Enrollment IDI20260514002082

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 Kayne Mccarthy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Good Samaritan Hospital And Medical Center

0.1 mi

General Acute Care Hospital

1015 NW 22ND AVE
Portland, OR 97210

Reassigned Medicare billing, Oregon enrollment
387 clinicians in this Medicare group

NPI 1780608216 (503) 413-7711

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

Hospital Affiliations CMS Care Compare

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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 Kayne Mccarthy's NPI number?

The NPI number for Kayne Mccarthy is 1295318293. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Kayne Mccarthy located?

Kayne Mccarthy practices at 1040 NW 22nd Ave Ste 168, Portland, OR 97210. The listed phone number is (503) 413-7022.

What is Kayne Mccarthy's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kayne Mccarthy enrolled in Medicare?

Yes. Kayne Mccarthy 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 Kayne Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayne Mccarthy reassigns Medicare benefits to Legacy Good Samaritan Hospital And Medical Center (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 Kayne Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kayne Mccarthy affiliated with any hospitals?

According to CMS data, Kayne Mccarthy is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Kayne Mccarthy was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.