KELLY A MCGONIGLE MD
NPI 1316479207
Obstetrics & Gynecology in Portland, OR

Q: What is Kelly Mcgonigle's NPI number?

The NPI number for Kelly Mcgonigle is 1316479207. It was assigned to this individual provider in the NPPES registry on March 30, 2017. The provider is also known as Kelly A Guttman.

Q: What is Kelly Mcgonigle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mcgonigle was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2017PECOS Enrolled

10566 SE WASHINGTON ST, PORTLAND, OR 97216(503) 734-3800(503) 734-3808 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2021, May 28, 2021, Mar 30, 2017 (3 updates tracked since 2017).

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About Kelly A Mcgonigle Md NPPES

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

KELLY A MCGONIGLE MD (NPI 1316479207) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD203816) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316479207

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELLY A MCGONIGLECredential: MD

Location Address10566 SE WASHINGTON STPortland, OR 97216-2809

Mailing Address7650 Sw Beveland Rd Ste 200Portland, OR 97223-8692 · (503) 601-3615 · Fax (503) 646-1683

Phone(503) 734-3800

Fax(503) 734-3808

Sole ProprietorNo

Enumeration DateMarch 30, 2017

Last NPPES UpdateJuly 28, 20213 updates tracked since enumeration

NPPES CertifiedJuly 28, 2021

✔ NPI 1316479207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OR · MD203816

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

10566 SE WASHINGTON ST, Portland, OR 97216

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Other Names 1

Other Name (5)Kelly A Guttman

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly A Mcgonigle 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 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.

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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.

LAUREN S MACKENZIE CNM

Advanced Practice Midwife