DR. HAGEN KENNECKE MD, MHA, FRCPC
NPI 1578090270
Internal Medicine - Medical Oncology in Portland, OR

Active since May 12, 2017PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
1130 NW 22ND AVE STE 150, PORTLAND, OR 97210(971) 262-9600(971) 262-9601 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2024, Jun 18, 2021, May 12, 2017 (3 updates tracked since 2017).

About Dr. Hagen Kennecke Md, Mha, Frcpc NPPES

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

DR. HAGEN KENNECKE MD, MHA, FRCPC (NPI 1578090270) is an individual medical oncology provider in Portland, Oregon, licensed in Oregon (MD203393) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1578090270
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. HAGEN KENNECKECredential: MD, MHA, FRCPC
Location Address1130 NW 22ND AVE STE 150Portland, OR 97210-2974
Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · (866) 617-6855 · Fax (503) 346-8015
Fax(971) 262-9601
Sole ProprietorNo
Medical School CMSDalhousie University, Faculty Of MedicineGraduated 1997
Enumeration DateMay 12, 2017
Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1578090270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in OR · MD203393
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 60729732 (WA)
1130 NW 22ND AVE STE 150, Portland, OR 97210

Secondary Practice Location 1

Location 11100 9th Avenue, Virginia Mason Medical CenterSeattle, WA 98101-2756 · Phone (206) 515-5811

Accepted 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

Dr. Hagen Kennecke Md, Mha, Frcpc 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 ID5395014559
PECOS Enrollment IDI20210408000647
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.

Areas of Expertise CMS Part B claims 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services24 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
53 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah 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.

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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Medical Oncology)
1130 NW 22ND AVE STE 150
PORTLAND, OR 97210
Case Manager/Care Coordinator
1130 NW 22ND AVE STE 150
PORTLAND, OR 97210
Internal Medicine (Medical Oncology)
1130 NW 22ND AVE STE 150
PORTLAND, OR 97210
Nurse Practitioner (Adult Health)
1130 NW 22ND AVE STE 150
PORTLAND, OR 97210
Internal Medicine (Medical Oncology)
1130 NW 22ND AVE STE 150
PORTLAND, OR 97210
Nurse Practitioner (Family)
1130 NW 22ND AVE STE 150
PORTLAND, OR 97210

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 Hagen Kennecke's NPI number?

The NPI number for Hagen Kennecke is 1578090270. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Where is Hagen Kennecke located?

Hagen Kennecke practices at 1130 NW 22nd Ave Ste 150, Portland, OR 97210. The listed phone number is (971) 262-9600.

What is Hagen Kennecke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Hagen Kennecke enrolled in Medicare?

Yes. Hagen Kennecke 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.

What insurance does Hagen Kennecke accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Hagen Kennecke 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 Hagen Kennecke affiliated with any hospitals?

According to CMS data, Hagen Kennecke is affiliated with Ohsu Hospital And Clinics and Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Hagen Kennecke was last updated on February 6, 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.