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DR. CARTER C. WYSTRACH MD, MPH
NPI 1639411895
Emergency Medicine in Clackamas, OR

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
KAISER PERMANENTE SUNNYSIDE MEDICAL CENTER, 10180 SE SUNNYSIDE RD., CLACKAMAS, OR 97015(503) 652-2880 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2025, Jan 23, 2017 (2 updates tracked since 2017).

About Dr. Carter C. Wystrach Md, Mph NPPES

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

DR. CARTER C. WYSTRACH MD, MPH (NPI 1639411895) is an individual emergency medicine provider in Clackamas, Oregon, licensed in Oregon (MD180923) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639411895
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CARTER C. WYSTRACHCredential: MD, MPH
Location AddressKAISER PERMANENTE SUNNYSIDE MEDICAL CENTER, 10180 SE SUNNYSIDE RD.Clackamas, OR 97015
Mailing AddressKaiser Permanente Sunnyside Medical Center, 10180 Se Sunnyside Rd.Clackamas, OR 97015 · (503) 652-2880
Phone(503) 652-2880
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 26, 2013
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1639411895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OR · MD180923✔ Licensed in CA · A133628
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.
KAISER PERMANENTE SUNNYSIDE MEDICAL CENTER, Clackamas, OR 97015
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carter C. Wystrach Md, Mph 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 ID7113200478
PECOS Enrollment IDI20170210001339
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 Reassignments

2

Medicare enrollment records show Carter Wystrach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Northwest
11 mi
General Practice
500 NE MULTNOMAH ST
Portland, OR 97232
  • Reassigned Medicare billing, Washington enrollment
  • 2,534 clinicians in this Medicare group
NPI 1871848457 (503) 823-2440
San Francisco Emergency Medical Associates
527 mi
Emergency Medicine
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 155 clinicians in this Medicare group
NPI 1134110661 (415) 244-2886

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

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.

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 Carter Wystrach's NPI number?

The NPI number for Carter Wystrach is 1639411895. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Carter Wystrach located?

Carter Wystrach practices at Kaiser Permanente Sunnyside Medical Center 10180 SE Sunnyside Rd., Clackamas, OR 97015. The listed phone number is (503) 652-2880.

What is Carter Wystrach's specialty?

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

Is Carter Wystrach enrolled in Medicare?

Yes. Carter Wystrach 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.

Which organizations bill Medicare for Carter Wystrach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carter Wystrach reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Northwest (Portland, OR) and San Francisco Emergency Medical Associates (San Francisco, CA). 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 Carter Wystrach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carter Wystrach was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.