KYLE JOHN SHAVER MD
NPI 1639241763
Emergency Medicine in Redmond, OR
About Kyle John Shaver Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE JOHN SHAVER MD (NPI 1639241763) is an individual emergency medicine provider in Redmond, Oregon, licensed in Oregon (MD27338) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mcminnville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle John Shaver Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kyle Shaver reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1710160445 (Oregon), NPI 1356389894 (Oregon)
- 307 clinicians in this Medicare group
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 348 clinicians in this Medicare group
Mcminnville, OR 97128
- Reassigned Medicare billing, Oregon enrollment
- 21 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
REDMOND, OR 97756
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 Kyle Shaver's NPI number?
The NPI number for Kyle Shaver is 1639241763. It was assigned to this individual provider in the NPPES registry on November 14, 2006.
Where is Kyle Shaver located?
Kyle Shaver practices at 1253 NW Canal Blvd, Redmond, OR 97756. The listed phone number is (541) 548-8131.
What is Kyle Shaver's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kyle Shaver enrolled in Medicare?
Yes. Kyle Shaver is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kyle Shaver's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Shaver reassigns Medicare benefits to 3 organizations: St. Charles Health System, Inc. (Bend, OR), St. Charles Health System, Inc. (Bend, OR) and Emergency Medical Associates Of Mcminnville (Mcminnville, OR). 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 Kyle Shaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Shaver accept?
Health plans from Moda Health Plan, Inc. list Kyle Shaver 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 Kyle Shaver was last updated on December 4, 2023. 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.
# Kyle John Shaver, MD · NPI 1639241763
Emergency Medicine physician in Redmond, Oregon. Individual provider, active in the CMS NPPES registry since November 14, 2006.
## Identity
- **NPI:** 1639241763 (Entity type: Individual)
- **Enumerated:** November 14, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD27338 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1253 NW CANAL BLVD, Redmond, OR 97756-1334
- **Phone:** (541) 548-8131 · **Fax:** (541) 460-4028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Charles Health System, Inc. (NPI 1780698696, Bend, OR); St. Charles Health System, Inc. (NPI 1023331303, Bend, OR); Emergency Medical Associates Of Mcminnville (NPI 1629022876, Mcminnville, OR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2023
- **Other identifiers:** Other 055542005; Medicaid 057237 (OR); Other 930021553; and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1639241763) · Data from the CMS NPPES public registry.