KRISTEN P MASSIMINO MD
NPI 1720208556
Surgery - Surgical Oncology in Portland, OR

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
9155 SW BARNES RD STE 238, PORTLAND, OR 97225(503) 216-6407 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2021, Feb 15, 2021 (2 updates tracked since 2021).

About Kristen P Massimino Md NPPES

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

KRISTEN P MASSIMINO MD (NPI 1720208556) is an individual surgical oncology provider in Portland, Oregon, licensed in Oregon (MD171629) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1720208556
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameKRISTEN P MASSIMINOCredential: MD
Location Address9155 SW BARNES RD STE 238Portland, OR 97225-6629
Mailing AddressPo Box 3158Portland, OR 97208-3158
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2007
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
NPI 1720208556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in OR · MD171629
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License MD171629 (OR)
9155 SW BARNES RD STE 238, Portland, OR 97225

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park Road #L579Portland, OR 97239-3098 · Phone (503) 494-8652

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

Kristen P Massimino Md 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 ID3375788276
PECOS Enrollment IDI20150727001389
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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services20 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
20 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients
Simple complete removal of breast 19303
This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 12

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

Internal Medicine
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Health Educator
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Health Educator
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Surgery
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Naturopath
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Physician Assistant
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Plastic Surgery
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Chiropractor
9155 SW BARNES RD STE 238
PORTLAND, OR 97225

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 Kristen Massimino's NPI number?

The NPI number for Kristen Massimino is 1720208556. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Kristen Massimino located?

Kristen Massimino practices at 9155 SW Barnes Rd Ste 238, Portland, OR 97225. The listed phone number is (503) 216-6407.

What is Kristen Massimino's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Kristen Massimino enrolled in Medicare?

Yes. Kristen Massimino 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 Kristen Massimino accept?

Health plans from Providence Health Plan list Kristen Massimino 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 Kristen Massimino affiliated with any hospitals?

According to CMS data, Kristen Massimino is affiliated with Providence St Vincent Medical Center, Providence Portland Medical Center and Providence Seaside Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Massimino was last updated on March 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.