KELLEY HAINES GORSUCH
NPI 1457819773
Emergency Medicine in Clackamas, OR

Q: What is Kelley Gorsuch's NPI number?

The NPI number for Kelley Gorsuch is 1457819773. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Q: What is Kelley Gorsuch's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Gorsuch was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since March 05, 2019PECOS EnrolledAccepts Medicare Assignment

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(800) 813-2000 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2026, Mar 5, 2019 (2 updates tracked since 2019).

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About Kelley Haines Gorsuch NPPES

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

KELLEY HAINES GORSUCH (NPI 1457819773) is an individual emergency medicine provider in Clackamas, Oregon, licensed in Oregon (DO225954) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457819773

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameKELLEY HAINES GORSUCH

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031

Phone(800) 813-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 5, 2019

Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1457819773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OR · DO225954

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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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

Kelley Haines Gorsuch 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 ID4981005949

PECOS Enrollment IDI20251024002601

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 2

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

Kaiser Foundation Hospital Westside

Acute Care Hospitals · Hillsboro, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380103

Location2875 NW Stucki AveHillsboro, OR 97124 · Washington 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

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.

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology