KELLY A PROBST DO
NPI 1346476496
Internal Medicine in Clackamas, OR

Q: 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.

Q: What is Kelly Probst's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Probst was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 03, 2009PECOS EnrolledAccepts Medicare Assignment

9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 813-2000 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1346476496

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKELLY A PROBSTCredential: DO

Location Address9800 SE SUNNYSIDE RDClackamas, OR 97015-9750

Mailing Address9800 Se Sunnyside RdClackamas, OR 97015-9750

Phone(503) 813-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 3, 2009

Last NPPES UpdateFebruary 4, 2022

✔ NPI 1346476496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OR · DO154700

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9800 SE SUNNYSIDE RD, Clackamas, OR 97015

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

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.

PECOS PAC ID8527219963

PECOS Enrollment IDI20121113000438

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.

Hospital Affiliations CMS Care Compare

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

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380091

Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County

Emergency services Birthing friendly

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.

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

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$61.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ASHLEY R JORDAN

Nurse Practitioner (Family)