Kimberly Sue-Ann Avery
Individual provider Active NPI Emergency Medicine Physician · Silverton, OR
NPI 1861994055 · NPPES record last updated May 8, 2025
Key facts
- NPI
- 1861994055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- DO224207 (OR)
- Practice address
- 342 Fairview St
Silverton, OR 97381 - Phone
- (503) 873-1500
- NPI assigned
- Mar 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Silverton Health
Practice addresses (Care Compare)
342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660
Hospital & facility affiliations
- Legacy Silverton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240702002269 | MI | Practitioner - Emergency Medicine | 3375965973 | Reassigns benefits to 3 organizations |
| I20250520001631 | OR | Practitioner - Emergency Medicine | 3375965973 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO224207 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Current | Accepting new patients | |
| Sturgis Hospital, Inc. | Current |
Accepting new patients | |
| Vituity-Michigan Health Services PC | Emergency Medicine | Current |
Accepting new patients |
| Northwest Acute Care Specialists PC | Emergency Medicine | Current |
Accepting new patients |
| Silverton Health | Emergency Medicine | Current |
Accepting new patients |
| Sturgis Hospital, Inc. | Current | Accepting new patients | |
| Silverton Health | Current |
Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Sturgis Hospital, Inc. | Current |
Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Northwest Acute Care Specialists PC | Emergency Medicine | Current |
Accepting new patients |
| Vituity-Michigan Health Services PC | Emergency Medicine | Current |
Accepting new patients |
| Western University of Health Sciences | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO224207 | OR | Yes |
| Emergency Medicine Physician | 207P00000X | 5101027806 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
342 Fairview St
Silverton, OR 97381
Mailing address
PO Box 3417
Portland, OR 97208-3417
Other practice location 1
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5095
Other providers in Silverton, OR
- Kathleen D. Altieri
- Juanita Aniceto Vera
- Megan Aragon
- Assisted Living Concepts Inc
- Audio Hearing Services
- Erika Maria Bahler
- Alex Carl Bahrke
- Kris Anne Baker
- Anne E. Barber-Shams
- Kristie Barnes
All providers in Silverton, OR · Emergency Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.