KIMBERLY MARIE KITTELL
NPI 1710479787
Physician Assistant in Portland, OR

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
68.46/100
CMS Quality Rating
2730 SW MOODY AVE, PORTLAND, OR 97201(503) 812-1876 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Marie Kittell NPPES

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

KIMBERLY MARIE KITTELL (NPI 1710479787) is an individual physician assistant in Portland, Oregon and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Adventist Health Tillamook, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710479787
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY MARIE KITTELL
Location Address2730 SW MOODY AVEPortland, OR 97201-5042
Mailing Address2730 Sw Moody AvePortland, OR 97201-5042
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 5, 2018
Last NPPES UpdateFebruary 4, 2020
NPI 1710479787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2730 SW MOODY AVE, Portland, OR 97201

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

Kimberly Marie Kittell 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 ID4486078615
PECOS Enrollment IDI20200721003867
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.

Hospital Affiliations CMS Care Compare

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

Adventist Health Tillamook

Critical Access Hospitals · Tillamook, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381317
Location1000 Third StreetTillamook, OR 97141 · Tillamook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97201 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
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

68.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.92
Promoting Interoperability85
Improvement Activities40
Cost38.83

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers14 claims47 services$6.66 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier19 claims19 services$51.67 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.

Physician Assistant (Medical)
2730 SW MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVE, CL5MD
PORTLAND, OR 97201
Dentist (Periodontics)
2730 SW MOODY AVE, MAIL CODE SD-PERI
PORTLAND, OR 97201
Dentist
2730 SW MOODY AVE
PORTLAND, OR 97201
Dentist (Endodontics)
2730 SW MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVE
PORTLAND, OR 97201
Dentist (Pediatric Dentistry)
2730 SW MOODY AVE, SCHOOL OF DENTISTRY
PORTLAND, OR 97201
Durable Medical Equipment & Medical Supplies
2730 SW MOODY AVE
PORTLAND, OR 97201

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 Kimberly Kittell's NPI number?

The NPI number for Kimberly Kittell is 1710479787. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Kimberly Kittell located?

Kimberly Kittell practices at 2730 SW Moody Ave, Portland, OR 97201. The listed phone number is (503) 812-1876.

What is Kimberly Kittell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Kittell enrolled in Medicare?

Yes. Kimberly Kittell 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 Kimberly Kittell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Kittell 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 Kimberly Kittell affiliated with any hospitals?

According to CMS data, Kimberly Kittell is affiliated with Adventist Health Tillamook.

When was this NPI record last updated?

The NPPES record for Kimberly Kittell was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.