KYLE D HOMERTGEN (DO) – Family Medicine Physician, NPI 1336266097

KYLE D HOMERTGEN (DO) is a healthcare provider. based in Bend, Oregon. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 2075 (ME). The NPI Number for KYLE D HOMERTGEN (DO) is 1336266097

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
KYLE D HOMERTGEN (DO)
NPI
1336266097
Phone
(541) 706-9985
Address
147 SW SHEVLIN HIXON DR STE 204
Enumeration Date
26 March 2007
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
WESTERN ECLECTIC COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
6800942780
Group Practice PAC ID
6800877424
Professional Enrollment ID
I20100923000871
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for KYLE D HOMERTGEN (DO)

  • 147 SW SHEVLIN HIXON DR STE 204

    BEND, OR 977021137

    Phone: (541) 706-9985

    Fax: (541) 408-9853

    Type: Mailing

  • 530 NW 27TH ST

    CORVALLIS, OR 973305223

    Phone: (541) 766-6835

    Fax: (541) 766-6186

    Type: Mailing

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.

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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: 2018-10-17

PECOS data refreshed: 2026-05-27

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 97702)

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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: 6800877424View full group profile
NameSpecialtyState
Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YID
Emergency MedicineOR
Family Practice, Emergency MedicineOR
D E R M A T O L O G YRI
Emergency MedicineOR
Emergency MedicineOR
General SurgeryOR
Emergency MedicineOR
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What number should I use to identify KYLE D HOMERTGEN (DO) for billing?
Administrative and clinical systems typically use NPI 1336266097 for KYLE D HOMERTGEN (DO).
Quick check: is KYLE D HOMERTGEN (DO) active?
Public NPPES data shows KYLE D HOMERTGEN (DO) with an active NPI status right now.
What type of care does KYLE D HOMERTGEN (DO) provide?
KYLE D HOMERTGEN (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KYLE D HOMERTGEN (DO)?
The directory associates KYLE D HOMERTGEN (DO) with Bend, Oregon. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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