KELLEN EARL PLOMSKI OD, MPH
NPI 1902461361
Optometrist in Clackamas, OR
About Kellen Earl Plomski Od, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEN EARL PLOMSKI OD, MPH (NPI 1902461361) is an individual optometrist in Clackamas, Oregon, licensed in Oregon (4447ATI) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Kellen Earl Plomski Od, Mph 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLACKAMAS, OR 97086
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 Kellen Plomski's NPI number?
The NPI number for Kellen Plomski is 1902461361. It was assigned to this individual provider in the NPPES registry on May 1, 2019.
Where is Kellen Plomski located?
Kellen Plomski practices at 12100 SE Stevens Ct Ste 106, Clackamas, OR 97086. The listed phone number is (800) 813-2000.
What is Kellen Plomski's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kellen Plomski enrolled in Medicare?
Yes. Kellen Plomski 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 Kellen Plomski accept?
Health plans from Blue Cross Blue Shield of Wyoming and Kaiser Permanente list Kellen Plomski 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 Kellen Plomski was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kellen Earl Plomski, OD, MPH · NPI 1902461361
Optometrist provider in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since May 1, 2019.
## Identity
- **NPI:** 1902461361 (Entity type: Individual)
- **Enumerated:** May 1, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4447ATI (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 12100 SE STEVENS CT STE 106, Clackamas, OR 97086-4707
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902461361) · Data from the CMS NPPES public registry.