KELLY A PROBST DO
NPI 1346476496
Internal Medicine in Clackamas, OR
About Kelly A Probst Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY A PROBST DO (NPI 1346476496) is an individual internal medicine provider in Clackamas, Oregon, licensed in Oregon (DO154700) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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 A Probst Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Probst reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Probst's NPI number?
The NPI number for Kelly Probst is 1346476496. It was assigned to this individual provider in the NPPES registry on June 3, 2009.
Where is Kelly Probst located?
Kelly Probst practices at 9800 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 813-2000.
What is Kelly Probst's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kelly Probst enrolled in Medicare?
Yes. Kelly Probst 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 Probst's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Probst 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 Kelly Probst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Probst accept?
Health plans from Kaiser Permanente list Kelly Probst 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 Probst 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.
# Kelly A Probst, DO · NPI 1346476496
Internal Medicine physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since June 3, 2009.
## Identity
- **NPI:** 1346476496 (Entity type: Individual)
- **Enumerated:** June 3, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DO154700 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 9800 SE SUNNYSIDE RD, Clackamas, OR 97015-9750
- **Phone:** (503) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1346476496) · Data from the CMS NPPES public registry.