KATHRYN S HAGEN (M.D.) – Neurology Physician, NPI 1124446042

KATHRYN S HAGEN (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 187700 (OR). The NPI Number for KATHRYN S HAGEN (M.D.) is 1124446042

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN S HAGEN (M.D.)
NPI
1124446042
Phone
(503) 494-8211
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
29 March 2014
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
5417062768
Graduation Year
2014 (12 years ago)
PAC ID
7416174297
Group Practice PAC ID
3870402852
Professional Enrollment ID
I20190605001197
Address ID
OR977016015BE2500XRDXX400

Contacts

Secure Messaging
khagen90235@secure.stcharleshealthcare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness95
Years active:12State licenses:1Other names

400 NEUROLOGY in OR

Provider Addresses for KATHRYN S HAGEN (M.D.)

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-8211

    Type: Mailing

  • 2500 NE Neff Rd

    Bend, OR 977016015

    Phone: (541) 706-6892

    Fax: (541) 706-6813

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2023-05-10 • Largest payer in this snapshot: Boston Scientific Corporation ($95).

Total Amount

$95

General + Research + Ownership

Payments

1

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190605001197INeurologyORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12075$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11774$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes101100$0
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional4632$0
95816Measurement of brain wave activity (eeg), awake and drowsy3030$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870402852View full group profile
NameSpecialtyState
Family PracticeOR
Internal MedicineCA
N E U R O L O G YOR
Internal MedicineOR
-OR
P S Y C H I A T R YOR
-OR
-OR
Internal Medicine, HospitalistOR
Family PracticeOR

Reviews

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Frequently asked questions

How is KATHRYN S HAGEN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists KATHRYN S HAGEN (M.D.) with NPI 1124446042.
Can I rely on KATHRYN S HAGEN (M.D.) being an active provider?
As of the registry snapshot, KATHRYN S HAGEN (M.D.) is marked active.
What healthcare role does KATHRYN S HAGEN (M.D.) hold?
Scheduling teams often label KATHRYN S HAGEN (M.D.) under Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is KATHRYN S HAGEN (M.D.) based?
KATHRYN S HAGEN (M.D.) is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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