JOHN MARK KINZIE MD
NPI 1386652840
Psychiatry & Neurology - Psychiatry in Portland, OR
About John Mark Kinzie Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MARK KINZIE MD (NPI 1386652840) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD24995) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Oregon Health Sciences University School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
John Mark Kinzie Md 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 Reassignments
3Medicare enrollment records show John Kinzie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 78 clinicians in this Medicare group
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Portland, OR 97232
- Reassigned Medicare billing, Oregon enrollment
- 719 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 John Kinzie's NPI number?
The NPI number for John Kinzie is 1386652840. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is John Kinzie located?
John Kinzie practices at 3181 SW Sam Jackson Park Rd Uhn 80, Portland, OR 97239. The listed phone number is (503) 494-8617.
What is John Kinzie's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is John Kinzie enrolled in Medicare?
Yes. John Kinzie 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 organizations bill Medicare for John Kinzie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kinzie reassigns Medicare benefits to 3 organizations: Oregon Health & Science University (Portland, OR), University Professional Services (Portland, OR) and Legacy Emanuel Hospital & Health Center (Portland, OR). Each 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 John Kinzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Kinzie affiliated with any hospitals?
According to CMS data, John Kinzie is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for John Kinzie was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John Mark Kinzie, MD · NPI 1386652840
Psychiatry physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1386652840 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** MD24995 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, UHN 80, Portland, OR 97239-3011
- **Phone:** (503) 494-8617
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Oregon Health & Science University (NPI 1851460638, Portland, OR); University Professional Services (NPI 1376709535, Portland, OR); Legacy Emanuel Hospital & Health Center (NPI 1003367491, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** July 13, 2007
- **Other identifiers:** Medicare UPIN H85557; Medicaid 022453 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1386652840) · Data from the CMS NPPES public registry.