KIMBERLY SUE-ANN AVERY
NPI 1861994055
Emergency Medicine in Silverton, OR

Q: What is Kimberly Avery's NPI number?

The NPI number for Kimberly Avery is 1861994055. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Q: What is Kimberly Avery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Avery was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 02, 2018PECOS EnrolledAccepts Medicare Assignment

342 FAIRVIEW ST, SILVERTON, OR 97381(503) 873-1500 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2025, Jul 23, 2024, Jun 21, 2024 and 2 more (5 updates tracked since 2018).

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About Kimberly Sue-ann Avery NPPES

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

KIMBERLY SUE-ANN AVERY (NPI 1861994055) is an individual emergency medicine provider in Silverton, Oregon, licensed in Oregon (DO224207) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Legacy Silverton Medical Center, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1861994055

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameKIMBERLY SUE-ANN AVERY

Location Address342 FAIRVIEW STSilverton, OR 97381

Mailing AddressPo Box 3417Portland, OR 97208-3417

Phone(503) 873-1500

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 2, 2018

Last NPPES UpdateMay 8, 20255 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1861994055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OR · DO224207✔ Licensed in MI · 5101027806

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.

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

342 FAIRVIEW ST, Silverton, OR 97381

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Secondary Practice Location 1

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-5095

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

Kimberly Sue-ann Avery 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 ID3375965973

PECOS Enrollment IDI20250520001631

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

Medicare enrollment records show Kimberly Avery reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Silverton Health

Same address

General Acute Care Hospital

342 FAIRVIEW ST
Silverton, OR 97381

Reassigned Medicare billing, Oregon enrollment
568 clinicians in this Medicare group

NPI 1669424354 (503) 873-1500

Northwest Acute Care Specialists PC

36 mi

Emergency Medicine

101 SW MAIN ST STE 940
Portland, OR 97204

Reassigned Medicare billing, Oregon enrollment
163 clinicians in this Medicare group

NPI 1215983200 (503) 464-9034

Vituity-Michigan Health Services PC

1,859 mi

Emergency Medicine

1521 GULL RD
Kalamazoo, MI 49048

Reassigned Medicare billing, Michigan enrollment
81 clinicians in this Medicare group

NPI 1750102323 (269) 226-7000

Cep America LLC

1,863 mi

Emergency Medicine

701 S HEALTH PKWY
Three Rivers, MI 49093

Reassigned Medicare billing, Michigan enrollment
168 clinicians in this Medicare group

NPI 1881498202 (269) 278-1145

Sturgis Hospital, Inc.

1,865 mi

Family Medicine

67105 US 131 S
Constantine, MI 49042

Reassigned Medicare billing, Michigan enrollment
35 clinicians in this Medicare group

NPI 1417370495 (269) 659-6516

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

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

54 services53 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

37 services34 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Legacy Silverton Medical Center

Acute Care Hospitals · Silverton, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380029

Location342 Fairview StreetSilverton, OR 97381 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97381 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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.

MARTIN ROBERT BOX MD

Family Medicine