Individual provider Active NPI

Kenneth Hugh McCarley, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Eugene, OR
National Provider Identifier
1235230707
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
28710 Issued in TN
Practice address
1200 Hilyard St Ste 620
Eugene, OR 97401-8157
Phone
(458) 205-6500
Fax
(458) 205-6453
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 28710 TN Primary

Addresses

Primary practice location

1200 Hilyard St Ste 620
Eugene, OR 97401-8157

Mailing address

1200 Hilyard St Ste 620
Eugene, OR 97401-8157
Phone (458) 205-6500

Other identifiers 1

IdentifierTypeStateIssuer
1811876MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160908001112 OR Practitioner - Otolaryngology 7911171129 Reassigns benefits to 1 organization
I20220502001229 AK Practitioner - Otolaryngology 7911171129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

3355 Riverbend Dr
Suite 400
Springfield, OR 97477-8800
Phone (541) 222-2402

3377 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

4010 Aerial Way
Eugene, OR 97402-9757
Phone (613) 272-4978

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Peacehealth Cottage Grove Community Medical Center Hospital, Cottage Grove, OR, CCN 381301
  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Oct 16, 2016 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Mar 8, 2022 Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1200 Hilyard St
Ste 620
Eugene, OR 97401
Phone (458) 205-6500

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: kmccarley283103@direct.peacehealth.org
  • Direct secure messaging: khmccarl@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1235230707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST STE 620",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018157",
            "telephone_number": "458-205-6500",
            "fax_number": "458-205-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST STE 620",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018157",
            "telephone_number": "458-205-6500",
            "fax_number": "458-205-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARLEY",
        "first_name": "KENNETH",
        "middle_name": "HUGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TN",
            "license": "28710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811876",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.