Kyle D Homertgen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO151041 Issued in OR

Practice address

147 SW Shevlin Hixon Dr Ste 204
Bend, OR 97702-1137

Phone

(541) 706-9985

Fax

(541) 408-9853

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Kyle D Homertgen

  • Medical Specialty Clinic/Center
  • Bend, OR
  • NPI 1063026466
  Medicare reassignment NPD Authorized official
• Bend Osteopathic Care, PC

  • Medical Specialty Clinic/Center
  • Bend, OR
  • NPI 1174868020
  NPD (past)
• Firstcare Medical Foundation

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740216498
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1336266097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SW SHEVLIN HIXON DR STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021137",
            "telephone_number": "541-706-9985",
            "fax_number": "541-408-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SW SHEVLIN HIXON DR STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021137",
            "telephone_number": "541-706-9985",
            "fax_number": "541-408-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMERTGEN",
        "first_name": "KYLE",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO151041",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO151041",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "2075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Harry Calvin Holton IV
• Jamie R Holts
• Carol A Holub
• Home Health of Northwest, LLC
• Homeopathic Weight Management LLC/Evoke Healing Space and Spa
• Carissa Leigh Honeycutt, PA-C
• Holly Elizabeth Hood-Storey, CADCR
• Britnie Hood, LPN
• Gary D Hood, MD
• Madison Hooper

• Family Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.