KAREN L SWENSON D.O.
NPI 1992019947
Family Medicine in Gresham, OR
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, maintains 4 additional practice locations, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Karen Swenson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gresham, OR 97030
- Reassigned Medicare billing, Oregon enrollment
- 132 clinicians in this Medicare group
Beaverton, OR 97005
- Reassigned Medicare billing, Oregon enrollment
- 111 clinicians in this Medicare group
Corvallis, OR 97330
- Reassigned Medicare billing, Oregon enrollment
- 162 clinicians in this Medicare group
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Placerville, CA 95667
- Reassigned Medicare billing, California enrollment
- 35 clinicians in this Medicare group
Crownpoint, NM 87313
- Reassigned Medicare billing, Texas enrollment
- 265 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Other Providers at the Same Location NPPES 9
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 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.
Which organizations bill Medicare for Karen Swenson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Swenson reassigns Medicare benefits to 6 organizations: Legacy Mount Hood Medical Center (Gresham, OR), Virginia Garcia Memorial Health Center (Beaverton, OR), The Corvallis Clinic P C (Corvallis, OR), Kaiser Foundation Health Plan Of Washington (Renton, WA), Shingle Springs Rancheria (Placerville, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Swenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
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 21 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.
# Karen L Swenson, D.O. · NPI 1992019947
Family Medicine physician in Gresham, Oregon. Individual provider, active in the CMS NPPES registry since August 2, 2010.
## Identity
- **NPI:** 1992019947 (Entity type: Individual)
- **Enumerated:** August 2, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO151460 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 24988 SE STARK ST STE 220, Gresham, OR 97030-8324
- **Phone:** (503) 674-1580
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Legacy Mount Hood Medical Center (NPI 1386919132, Gresham, OR); Virginia Garcia Memorial Health Center (NPI 1902067861, Beaverton, OR); The Corvallis Clinic P C (NPI 1679362198, Corvallis, OR); Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA); Shingle Springs Rancheria (NPI 1245356674, Placerville, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992019947) · Data from the CMS NPPES public registry.