KAREN L SWENSON D.O.
NPI 1992019947
Family Medicine in Gresham, OR

Active since August 02, 2010PECOS EnrolledAccepts Medicare Assignment
90.27/100
CMS Quality Rating
24988 SE STARK ST STE 220, GRESHAM, OR 97030(503) 674-1580 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Apr 18, 2022, Jun 6, 2019 and 2 more (5 updates tracked since 2016).

About Karen L Swenson D.o. NPPES

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

KAREN L SWENSON D.O. (NPI 1992019947) is an individual family medicine provider in Gresham, Oregon, licensed in Oregon (DO151460) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Samaritan Albany General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1992019947
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN L SWENSONCredential: D.O.
Location Address24988 SE STARK ST STE 220Gresham, OR 97030-8324
Mailing AddressPo Box 3777Portland, OR 97208-3777
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 2, 2010
Last NPPES UpdateJanuary 6, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1992019947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OR · DO151460 Licensed in CA · 20A14141
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.
24988 SE STARK ST STE 220, Gresham, OR 97030

Secondary Practice Locations 4

Location 14058 Willows RdAlpine, CA 91901-1668 · Phone (619) 445-1188 · Fax (619) 659-3141
Location 2531 N Highway 101 Ste ADepoe Bay, OR 97341-9572 · Phone (541) 765-3265
Location 34507 SW Coast AveLincoln City, OR 97367-1528 · Phone (541) 222-2100
Location 436350 Church RdCampo, CA 91906-2715 · Phone (619) 445-1188 · Fax (619) 478-2288

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

Karen L Swenson D.o. 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 ID5294920690
PECOS Enrollment IDI20101111000185
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.

Hospital Affiliations CMS Care Compare

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

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380022
Location1046 6th Avenue SWAlbany, OR 97321 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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.

90.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.22
Promoting Interoperability100
Improvement Activities40
Cost66.95

Other Providers at the Same Location NPPES 8

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

Physician Assistant
24988 SE STARK ST STE 220
GRESHAM, OR 97030
Internal Medicine
24988 SE STARK ST STE 220
GRESHAM, OR 97030
Physician Assistant
24988 SE STARK ST STE 220
GRESHAM, OR 97030
Physician Assistant
24988 SE STARK ST STE 220
GRESHAM, OR 97030
Pharmacist
24988 SE STARK ST STE 220
GRESHAM, OR 97030
Physician Assistant (Medical)
24988 SE STARK ST STE 220
GRESHAM, OR 97030
Social Worker (Clinical)
24988 SE STARK ST STE 220
GRESHAM, OR 97030
Physician Assistant
24988 SE STARK ST STE 220
GRESHAM, OR 97030

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 Karen Swenson's NPI number?

The NPI number for Karen Swenson is 1992019947. It was assigned to this individual provider in the NPPES registry on August 2, 2010.

Where is Karen Swenson located?

Karen Swenson practices at 24988 SE Stark St Ste 220, Gresham, OR 97030. The listed phone number is (503) 674-1580.

What is Karen Swenson's specialty?

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

Is Karen Swenson enrolled in Medicare?

Yes. Karen Swenson 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 Karen Swenson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Karen Swenson 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 Karen Swenson affiliated with any hospitals?

According to CMS data, Karen Swenson is affiliated with Samaritan Albany General Hospital.

When was this NPI record last updated?

The NPPES record for Karen Swenson was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.