Krystal Lyn Plotts, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD164725 Issued in OR

Practice address

425 N Santiam Hwy
Lebanon, OR 97355-4361

Phone

(541) 451-7800

Fax

(541) 451-7808

NPI assigned

Jun 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 Practice

Education

Oregon Health Sciences University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Klickitat County Public Hospital District No 1Group PAC ID 0648164269, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Home Care Home health agency, The Dalles, OR, CCN 387041
• Providence Home Health Home health agency, Portland, OR, CCN 387048
• Klickitat Valley Hospital Hospital, Goldendale, WA, CCN 501316
• Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001
• Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318
• Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kplotts@kvhealthfm.gwaydirect.com

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.

• Klickitat County Public Hospital District No 1

  • Clinic/Center
  • Goldendale, WA
  • NPI 1467530915
  Medicare reassignment Care Compare group NPD
• Klickitat County Public Hospital District No 1

  • Emergency Care Clinic/Center
  • Goldendale, WA
  • NPI 1780754507
  NPD

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

• Mid-Columbia Medical Center

  • Home Health Agency
  • The Dalles, OR
  • NPI 1205804101
  Care Compare affiliation
• Mid-Columbia Medical Center

  • Critical Access Hospital Clinic/Center
  • The Dalles, OR
  • NPI 1306842752
  Care Compare affiliation
• Oregon Health & Science University

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1609824010
  Care Compare affiliation
• Providence Health & Services Oregon

  • Critical Access Hospital
  • Hood River, OR
  • NPI 1255429338
  Care Compare affiliation
• Providence Health & Services Oregon

  • Home Health Agency
  • Portland, OR
  • NPI 1790873461
  Care Compare affiliation
• Klickitat County Public Hospital District No 1

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  Care Compare affiliation

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1386955441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N SANTIAM HWY",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554361",
            "telephone_number": "541-451-7800",
            "fax_number": "541-451-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N SANTIAM HWY",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554361",
            "telephone_number": "541-451-7800",
            "fax_number": "541-451-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTTS",
        "first_name": "KRYSTAL",
        "middle_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-1124",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD164725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Peterson
• Tawni Pfaff, RN
• Crystal Myra Phay, DO
• Subeena Pritam Phull, MD
• Pill Box Drugs Inc
• Hiroko Poceski
• Christopher Edward Pokladnik, RPH, PHARMD
• Hillary Pope, PTA
• Scot Potter
• William Brandon Pound, B.S.

• Family Medicine Physician in Lebanon, OR
• Providers in Lebanon, 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 Sep 26, 2013; 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.