KEVIN J KANE DO
NPI 1083608970
Neuromusculoskeletal Medicine & OMM in Portland, OR

NPI Status: Active since September 07, 2005

Contact Information

10340 SE DIVISION ST
PORTLAND, OR
ZIP 97266
Phone: (503) 232-1000
Fax: (503) 232-1143

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  • Individual
  • Male
  • Neuromusculoskeletal Medicine & OMM
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About KEVIN KANE

This page provides the complete NPI Profile along with additional information for Kevin Kane, a provider established in Portland, Oregon with a medical specialization in Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1083608970 assigned on September 2005. The practitioner's primary taxonomy code is 204D00000X with license number DO20375 (OR). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1083608970
Provider Name
KEVIN J KANE DO
Gender
Male
Entity Type
Individual
Location Address
10340 SE DIVISION ST PORTLAND, OR 97266
Location Phone
(503) 232-1000
Location Fax
(503) 232-1143
Mailing Address
10340 SE DIVISION ST PORTLAND, OR 97266
Mailing Phone
(503) 232-1000
Mailing Fax
(503) 232-1143
Is Sole Proprietor?
Yes
Enumeration Date
09-07-2005
Last Update Date
08-28-2015
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kevin Kane opted out of Medicare effective on 12-12-2015 until 12-12-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neuromusculoskeletal Medicine & OMM

Taxonomy Code
204D00000X
Type
Allopathic & Osteopathic Physicians
License No.
DO20375
License State
OR
Taxonomy Description
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
06701800OTHER (01)ORBCBSO
108596MEDICARE UPIN (02)OR 
3555836MEDICAID (05)OR 

Medicare Participation & PECOS Enrollment Status

Kevin Kane is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 12-12-2015

  • Opt-Out End Date: 12-12-2025

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for KEVIN J KANE DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083608970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016312016914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 2 + 0 + 1 + 6 + 9 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1083608970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912904889DR. KRIS EUGENE RICE D.M.D.
Individual
Dentist (General Practice)10340 SE DIVISION ST
PORTLAND, OR 97266
(503) 256-3199
1831187178DR. RICHARD S HORACEK D.D.S
Individual
Dentist10340 SE DIVISION ST
PORTLAND, OR 97266
(503) 254-2068
1376706093HERZOG & HORACEK LLC
Organization
Dentist (General Practice)10340 SE DIVISION ST
PORTLAND, OR 97266
(503) 256-3199
1528376233HORACEK DENTAL
Organization
Dentist (General Practice)10340 SE DIVISION ST SUITE 3
PORTLAND, OR 97266
(503) 256-3199
1730497868GEHRED FAMILY DENTAL
Organization
Dentist10340 SE DIVISION ST SUITE 1
PORTLAND, OR 97266
(503) 254-2068
1033769344INTEGRATED REHABILIATION
Organization
Neuromusculoskeletal Medicine & OMM10340 SE DIVISION ST
PORTLAND, OR 97266
(503) 232-1000
1053750687DR. BRIANNA LYNNE WELCH M.D.
Individual
Physical Medicine & Rehabilitation10340 SE DIVISION ST
PORTLAND, OR 97266
(503) 232-1000
1245097427MS. JEANINE N VANSCOY LMT
Individual
Massage Therapist10340 SE DIVISION ST
PORTLAND, OR 97266
(503) 232-1000
1407484686 MARTIN LAGUERRE MD, MPH
Individual
Physical Medicine & Rehabilitation10340 SE DIVISION ST
PORTLAND, OR 97266
(503) 232-1000
1073040366 MELISSA RISTER PT
Individual
Physical Therapist10340 SE DIVISION ST
PORTLAND, OR 97266
(503) 232-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083608970, enumerated in the NPI registry as an "individual" on September 07, 2005

The provider is located at 10340 Se Division St Portland, Or 97266 and the phone number is (503) 232-1000

The provider's speciality is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

No, the provider signed an affidavit on December 12, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 12, 2025.

This NPI record was last updated on September 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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