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DR. KIMBER L. PEZZONI M.D.
NPI 1457365314
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Active since July 28, 2006PECOS Enrolled
9450 SW BARNES RD STE 200, PORTLAND, OR 97225(503) 216-2025(503) 216-5529 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kimber L. Pezzoni M.d. NPPES

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

DR. KIMBER L. PEZZONI M.D. (NPI 1457365314) is an individual child & adolescent psychiatry provider in Portland, Oregon, licensed in Montana (MED-PHYS-LIC-35748) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457365314
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KIMBER L. PEZZONICredential: M.D.
Location Address9450 SW BARNES RD STE 200Portland, OR 97225-6638
Mailing Address9450 Sw Barnes Rd Ste 200Portland, OR 97225-6638 · (503) 216-2025 · Fax (503) 216-5529
Phone(503) 216-2025
Fax(503) 216-5529
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1457365314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in MT · MED-PHYS-LIC-35748✔ Licensed in OR · MD26418
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MED-PHYS-LIC-35748 (MT), MD26418 (OR)
9450 SW BARNES RD STE 200, Portland, OR 97225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimber L. Pezzoni M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimber Pezzoni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montana Children's Home & Hospital
523 mi
Clinical Medical Laboratory
2620 SHODAIR DRIVE
Helena, MT 59601
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Montana Childrens Home & Hospital
  • 50 clinicians in this Medicare group
NPI 1053577205 (406) 444-7500

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

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANNELL ANN KAISER LCSW
Social Worker (Clinical)
9450 SW BARNES RD STE 200
PORTLAND, OR 97225
Washington County (503) 216-2025
ELIZABETH D CLEMENTS D.O.
Psychiatry & Neurology (Psychiatry)
9450 SW BARNES RD STE 200
PORTLAND, OR 97225
Washington County (971) 345-5060
JENNIFER M BECKLEY HAYS LCSW
Social Worker (Clinical)
9450 SW BARNES RD STE 200
PORTLAND, OR 97225
Washington County (971) 345-5060
DALYN JOLENE MOLINARO LCSW
Social Worker (Clinical)
9450 SW BARNES RD STE 200
PORTLAND, OR 97225
Washington County (971) 345-5060
DANIELLE L CALDEIRA LCSW
Social Worker (Clinical)
9450 SW BARNES RD STE 200
PORTLAND, OR 97225
Washington County (503) 216-2025
MS. IRINA GELMAN PSY.D.
Psychologist (Clinical)
9450 SW BARNES RD STE 200
PORTLAND, OR 97225
Washington County (503) 216-2025
MAREN THERESE WALTA LCSW
Social Worker (Clinical)
9450 SW BARNES RD STE 200
PORTLAND, OR 97225
Washington County (503) 216-1087
CHARLENE MICHELLE NEGUS SHEMLEY LPC, CADC II
Counselor (Professional)
9450 SW BARNES RD STE 200
PORTLAND, OR 97225
Washington County (503) 216-3511

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 Kimber Pezzoni's NPI number?

The NPI number for Kimber Pezzoni is 1457365314. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Kimber Pezzoni located?

Kimber Pezzoni practices at 9450 SW Barnes Rd Ste 200, Portland, OR 97225. The listed phone number is (503) 216-2025.

What is Kimber Pezzoni's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kimber Pezzoni enrolled in Medicare?

Yes. Kimber Pezzoni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimber Pezzoni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimber Pezzoni reassigns Medicare benefits to Montana Children's Home & Hospital (Helena, MT). 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 Kimber Pezzoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimber Pezzoni accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and UnitedHealthcare list Kimber Pezzoni 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 Kimber Pezzoni was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.