KYLE MATTHEW BALTRUSCH MD
NPI 1952741779
Surgery - Plastic and Reconstructive Surgery in Portland, OR
About Kyle Matthew Baltrusch Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE MATTHEW BALTRUSCH MD (NPI 1952741779) is an individual plastic and reconstructive surgery provider in Portland, Oregon, licensed in Oregon (MD205639) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kyle Matthew Baltrusch 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kyle Baltrusch's NPI number?
The NPI number for Kyle Baltrusch is 1952741779. It was assigned to this individual provider in the NPPES registry on June 25, 2013.
Where is Kyle Baltrusch located?
Kyle Baltrusch practices at 1200 NW Naito Pkwy Ste 310, Portland, OR 97209. The listed phone number is (503) 292-9200.
What is Kyle Baltrusch's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Kyle Baltrusch enrolled in Medicare?
Yes. Kyle Baltrusch 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 Kyle Baltrusch accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kyle Baltrusch 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 Kyle Baltrusch was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kyle Matthew Baltrusch, MD · NPI 1952741779
Plastic and Reconstructive Surgery physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 25, 2013.
## Identity
- **NPI:** 1952741779 (Entity type: Individual)
- **Enumerated:** June 25, 2013
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** MD205639 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 NW NAITO PKWY STE 310, Portland, OR 97209-2829
- **Phone:** (503) 292-9200 · **Fax:** (503) 292-9205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** July 19, 2021
- **Other identifiers:** Medicaid 500688755 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1952741779) · Data from the CMS NPPES public registry.