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KATHRYN F MCGONIGLE MD
NPI 1417042854
Obstetrics & Gynecology - Gynecologic Oncology in Portland, OR

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-8654(503) 413-8655 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2021, Jul 7, 2021, Jan 27, 2021 and 1 more (4 updates tracked since 2020).

About Kathryn F Mcgonigle Md NPPES

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

KATHRYN F MCGONIGLE MD (NPI 1417042854) is an individual gynecologic oncology provider in Portland, Oregon, licensed in Oregon (MD204288) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417042854
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameKATHRYN F MCGONIGLECredential: MD
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing Address1015 Nw 22nd AvePortland, OR 97210-3025 · (503) 413-8654 · Fax (503) 413-8655
Phone(503) 413-8654
Fax(503) 413-8655
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1984
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 8, 20214 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1417042854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Licenses✔ Licensed in OR · MD204288✔ Licensed in WI · 743✔ Licensed in WA · MD00040252
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
1015 NW 22ND AVE, Portland, OR 97210
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11560 N 115th St, SUITE 101Seattle, WA 98133-8414 · Phone (206) 368-6806 · Fax (206) 368-6808
Location 21836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300
Location 3101 W 8th Ave Ste 1400Spokane, WA 99204-2307 · Phone (509) 474-2200 · Fax (509) 227-7070

Other Identifiers 2

Other160053987WA · Railroad Medicare
OtherUS2608092WA · Aetna Specialist Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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

Kathryn F Mcgonigle 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.

PECOS PAC ID1850332081
PECOS Enrollment IDI20260630004784
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 Reassignments

3

Medicare enrollment records show Kathryn Mcgonigle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Salmon Creek Hospital
13 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878
Peter C Lim MD Ltd
440 mi
Gynecologic Oncology
75 PRINGLE WAY LOWR LEVEL
Reno, NV 89502
  • Reassigned Medicare billing, Nevada enrollment
  • 8 clinicians in this Medicare group
NPI 1275716144 (775) 327-4673
Gundersen Lutheran Medical Center Inc
1,544 mi
Clinic/Center
1111 7TH ST S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1225873458 (608) 782-7300

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290001
Location1155 Mill StreetReno, NV 89502 · Washoe 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
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.

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.

TSYRIA SHIANN TANG DO
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7036
MARK A CRISLIP
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Multnomah County (503) 413-8258
COLTON PATRICK BONEY DO
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
NICKOLAS ROCKENBACK MD
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
CAROLYN N RHETT MD
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7260
BRIAN BATTALIA MD
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 464-9034
DR. JUDITH ANN RAY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-8259
JENELLE LYNN STINSON PHARMD
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7008

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 Kathryn Mcgonigle's NPI number?

The NPI number for Kathryn Mcgonigle is 1417042854. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kathryn Mcgonigle located?

Kathryn Mcgonigle practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-8654.

What is Kathryn Mcgonigle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Kathryn Mcgonigle enrolled in Medicare?

Yes. Kathryn Mcgonigle 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 Kathryn Mcgonigle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Mcgonigle reassigns Medicare benefits to 3 organizations: Legacy Salmon Creek Hospital (Vancouver, WA), Peter C Lim MD Ltd (Reno, NV) and Gundersen Lutheran Medical Center Inc (La Crosse, WI). 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 Kathryn Mcgonigle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Mcgonigle accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Kathryn Mcgonigle 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.

Is Kathryn Mcgonigle affiliated with any hospitals?

According to CMS data, Kathryn Mcgonigle is affiliated with Renown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kathryn Mcgonigle was last updated on November 8, 2021. 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.