KENNETH LEE RECKARD PA-C
NPI 1083635916
Physician Assistant - Medical in Tualatin, OR
NPI Status: Active since July 23, 2006
Contact Information
19250 SW 90TH AVE
TUALATIN, OR
ZIP 97062
Phone: (503) 692-3750
Fax: (503) 691-2324
- Individual
- Male
- Years of Experience 21
- Physician Assistant
- Medical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KENNETH RECKARD
This page provides the complete NPI Profile along with additional information for Kenneth Reckard, a primary care provider established in Tualatin, Oregon with a medical specialization in Physician Assistant, focusing in medical and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1083635916 assigned on July 2006. The practitioner's primary taxonomy code is 363AM0700X with license number PA01082 (OR). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1083635916
- Provider Name
- KENNETH LEE RECKARD PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 19250 SW 90TH AVE TUALATIN, OR 97062
- Location Phone
- (503) 692-3750
- Location Fax
- (503) 691-2324
- Mailing Address
- 847 NE 19TH AVE SUITE 300 PORTLAND, OR 97232
- Mailing Phone
- (503) 963-2801
- Mailing Fax
- (503) 691-2324
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-23-2006
- Last Update Date
- 12-01-2021
- Code Navigator
A primary care provider (PCP) like Kenneth Reckard sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Secondary Locations
- 879 N Providence Dr
Newberg, OR 97132
(503) 692-3750
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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA01082
- License State
- OR
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
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- 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.
*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 |
---|---|---|---|
1083635916 | MEDICAID (05) | WA | |
500604351 | MEDICAID (05) | OR |
Medicare Participation & PECOS Enrollment Status
Kenneth Reckard is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kenneth Reckard 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
PECOS PAC ID: 4688699085
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20051013000722
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 67 times for 64 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 56 times for 55 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 44 times for 44 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 36 times for 36 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kenneth Reckard is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
PROVIDENCE NEWBERG MEDICAL CENTER | 1001 PROVIDENCE DRIVE NEWBERG, OR 97132 | (503) 537-1555 | Acute Care Hospitals |
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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. | |||||||||
1 | 0 | 8 | 3 | 6 | 3 | 5 | 9 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 16 | 3 | 12 | 3 | 10 | 9 | 2 | |
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 + 3 + 1 + 0 + 9 + 2 + 24 = 54 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 54 = 6 | 6 |
The NPI number 1083635916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1831167253 | OREGON CLINIC, PC Organization | Clinic/Center (Endoscopy) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1568627594 | DR. RYAN EDWIN CHILDERS M.D. Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1407141765 | CASSANDRE PIERSOL ANP-BC Individual | Nurse Practitioner (Adult Health) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1114106507 | DR. SWAPNA BOKKA REDDY M.D. Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1265428619 | RONALD JAY LEW MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1356337943 | MARK STEPHEN SCHIELE MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1639280266 | WEI WANG MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1639440381 | NIMA MOTAMEDI M.D. Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1811192370 | ERIK JAMES VANKLEEK MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1972861599 | SARAH CHUNGMI LEE Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1861186090 | MR. BRIAN GREGORY MARSHALL FNP-C Individual | Nurse Practitioner (Family) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1023556404 | JESSICA KAZUE HARAGA MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1174679773 | DR. JEFFREY DAVID DUMAN MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1487611984 | JEFFREY MATTHEW DOUGLASS MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1518954668 | MICHELLE MARIE BEILSTEIN MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1598957888 | MARK PATRICK CAHILL MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1831221837 | STEPHEN LUMIN CHEN M.D. Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1457689176 | SARA MEERDTER Individual | Physician Assistant | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1689666844 | SHANNON E LUNDERS PA Individual | Physician Assistant | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
1699193532 | JUSTINE HUM MD Individual | Internal Medicine (Gastroenterology) | 19250 SW 90TH AVE TUALATIN, OR 97062 (503) 692-3750 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083635916, enumerated in the NPI registry as an "individual" on July 23, 2006
The provider is located at 19250 Sw 90th Ave Tualatin, Or 97062 and the phone number is (503) 692-3750
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider has more than 21 years of experience.
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.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes and New patient office or other outpatient visit, 45-59 minutes.
The practitioner is affiliated to the following hospital(s): PROVIDENCE NEWBERG MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 23, 2006. 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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