STEPHEN M. KAMINSKI (M.D.) – Anesthesiology Physician, NPI 1134179070
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
867 ANESTHESIOLOGY in OR
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Provider Addresses for STEPHEN M. KAMINSKI (M.D.)
Oregon City Post Office, 19300, Molalla Avenue, Gaffney Lane, Oregon City, Clackamas County, Oregon, 97045, United States
OREGON CITY, OR 970450600
Phone: (503) 655-0255
Fax: (503) 655-0255
Type: Mailing
Providence Willamette Falls Medical Center, 1500, Division Street, Oregon City, Metro, Clackamas County, Oregon, 97045, United States
OREGON CITY, OR 970451527
Phone: (503) 656-1631
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051220000937 | I | Anesthesiology | OR | TBD |
| I20080320000563 | I | Anesthesiology | WA | TBD |
| I20201019001512 | I | Anesthesiology | MT | TBD |
| I20241217000240 | I | Anesthesiology | NE | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| General Surgery | ID | |
| Physician Assistant | ID | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Orthopedic Surgery | ID | |
| - | ID | |
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Interventional Pain Management, Anesthesiology | ID | |
| Diagnostic Radiology | NV |
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