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DR. KRISTIN MARIE WHEELER MD
NPI 1730230368
Family Medicine in Portland, OR

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
619 NW 6TH AVE FL 5, PORTLAND, OR 97209(503) 988-3674(503) 988-3676 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2022, Jan 23, 2020, Aug 9, 2019 (3 updates tracked since 2019).

About Dr. Kristin Marie Wheeler Md NPPES

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

DR. KRISTIN MARIE WHEELER MD (NPI 1730230368) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD20464) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1995).

NPPES Registry Identity

NPI1730230368
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTIN MARIE WHEELERCredential: MD
Location Address619 NW 6TH AVE FL 5Portland, OR 97209-3964
Mailing Address619 Nw 6th Ave Fl 5Portland, OR 97209-3964 · (503) 988-7468 · Fax (503) 988-3015
Phone(503) 988-3674
Fax(503) 988-3676
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1995
Enumeration DateJanuary 12, 2007
Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2020
✔ NPI 1730230368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD20464
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
619 NW 6TH AVE FL 5, Portland, OR 97209
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Other Identifiers 2

Medicaid22959OR
Medicaid09651OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Dr. Kristin Marie Wheeler 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 ID1951437508
PECOS Enrollment IDI20100407000477
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 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.

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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
81%403 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
20%308 patients1/55-star benchmark: 85%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
60%162 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
97%162 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
89%1,582 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
87%120 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%696 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
45%644 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
90%538 patients4/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 345 patients
Patients tobacco: 97% · 345 patients
86%80 patients4/55-star benchmark: 98%
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period
31%191 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
76%192 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 5% · 120 patients
9%120 patients3/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 69% · 118 patients
Patients physicalActivity: 69% · 118 patients
99%118 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

ERIN ELIZABETH STOCKER MN, FNP-BC
Nurse Practitioner (Family)
619 NW 6TH AVE FL 5
PORTLAND, OR 97209
Multnomah County (503) 988-7468
MR. SAMUEL HURLEY CSWA
Social Worker (Clinical)
619 NW 6TH AVE FL 5
PORTLAND, OR 97209
Multnomah County (503) 988-7468
NANCY CASEY NP
Nurse Practitioner (Family)
619 NW 6TH AVE FL 5
PORTLAND, OR 97209
Multnomah County (503) 988-7468

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 Kristin Wheeler's NPI number?

The NPI number for Kristin Wheeler is 1730230368. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Kristin Wheeler located?

Kristin Wheeler practices at 619 NW 6th Ave Fl 5, Portland, OR 97209. The listed phone number is (503) 988-3674.

What is Kristin Wheeler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristin Wheeler enrolled in Medicare?

Yes. Kristin Wheeler 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 Kristin Wheeler accept?

Health plans from Kaiser Permanente list Kristin Wheeler 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 Kristin Wheeler was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.