KENNETH ADAM CONKLIN MPAS, PA-C
NPI 1669851606
Physician Assistant - Surgical in Redmond, OR

Q: What is Kenneth Conklin's NPI number?

The NPI number for Kenneth Conklin is 1669851606. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Q: What is Kenneth Conklin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Conklin was last updated on October 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2015PECOS EnrolledAccepts Medicare Assignment

1315 NW 4TH ST STE A, REDMOND, OR 97756(541) 548-7761(541) 598-3485 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kenneth Adam Conklin Mpas, Pa-c NPPES

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

KENNETH ADAM CONKLIN MPAS, PA-C (NPI 1669851606) is an individual surgical provider in Redmond, Oregon, licensed in Oregon (PA180597) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669851606

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameKENNETH ADAM CONKLINCredential: MPAS, PA-C

Location Address1315 NW 4TH ST STE ARedmond, OR 97756-1328

Mailing AddressPo Box 5579Bend, OR 97708-5579 · (541) 548-7761 · Fax (541) 598-3485

Phone(541) 548-7761

Fax(541) 598-3485

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMay 22, 2015

Last NPPES UpdateOctober 17, 2025

NPPES CertifiedOctober 17, 2025

✔ NPI 1669851606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OR · PA180597

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1315 NW 4TH ST STE A, Redmond, OR 97756

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Kenneth Adam Conklin Mpas, Pa-c 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 ID547546202

PECOS Enrollment IDI20170411002084

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 2

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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services15 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

DR. RANDY J KJORSTAD M.D.

Surgery