KEVIN R CARPENTER MD
NPI 1578509980
Family Medicine in Gresham, OR

Q: What is Kevin Carpenter's NPI number?

The NPI number for Kevin Carpenter is 1578509980. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Kevin Carpenter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Carpenter was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 22, 2006PECOS Enrolled

440 NW DIVISION ST, GRESHAM, OR 97030(503) 215-9500(503) 215-9525 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2021, Feb 20, 2017 (2 updates tracked since 2017).

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About Kevin R Carpenter Md NPPES

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

KEVIN R CARPENTER MD (NPI 1578509980) is an individual family medicine provider in Gresham, Oregon, licensed in Oregon (MD20344) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578509980

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEVIN R CARPENTERCredential: MD

Location Address440 NW DIVISION STGresham, OR 97030-5506

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 215-9500

Fax(503) 215-9525

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2021

✔ NPI 1578509980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD20344

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

440 NW DIVISION ST, Gresham, OR 97030

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Other Identifiers 2

Other080102978OR · Rr Medicare (ph&s)-pmg

Medicaid150062OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin R Carpenter Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers24 claims71 services$6.41 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers19 claims19 services$31.03 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers11 claims32 services$24.57 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers16 claims16 services$15.93 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers17 claims102 services$1.86 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims389 services$4.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine