DR. CHARLES HERMAN KUTTNER (M.D.) – Psychiatry Physician, NPI 1417954512

DR. CHARLES HERMAN KUTTNER (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 9934 (OR). The NPI Number for DR. CHARLES HERMAN KUTTNER (M.D.) is 1417954512

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES HERMAN KUTTNER (M.D.)
NPI
1417954512
Phone
(503) 452-0915
Address
2400 SW VERMONT ST
Enumeration Date
5 July 2005
Last Update Date
26 August 2008

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
5034520915
Graduation Year
1973 (53 years ago)
PAC ID
1850451170
Group Practice PAC ID
0042100521
Professional Enrollment ID
I20081117000522
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHARLES HERMAN KUTTNER (M.D.)

  • Fanno Creek Medical Clinic, 2400, Southwest Vermont Street, Hillsdale, Portland, Metro, Multnomah County, Oregon, 97219, United States

    PORTLAND, OR 972191940

    Phone: (503) 452-0915

    Fax: (503) 768-9232

    Mailing address matches the actual address.

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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-01-26 • Largest payer in this snapshot: PFIZER INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$17
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99215Established patient office or other outpatient visit, 40-54 minutes10016$0
99214Established patient office or other outpatient visit, 30-39 minutes9921$0
View full utilization report →

Insurance plans in this area (ZIP 97219)

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Provider's Procedures

DR. CHARLES HERMAN KUTTNER (M.D.) performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYOR90836Psychotherapy, 45 minutes with patient and/or family member7016

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: 0042100521View full group profile
NameSpecialtyState
Internal MedicineOR
Internal MedicineOR
Internal MedicineOR
-OR
Internal MedicineOR
-OR
Internal MedicineOR
Physical Medicine And RehabilitationWA
Physical Therapist In Private PracticeNY
P S Y C H I A T R YOR

Reviews

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Frequently asked questions

Can I verify DR. CHARLES HERMAN KUTTNER (M.D.) with an NPI only?
You can start verification with NPI 1417954512 for DR. CHARLES HERMAN KUTTNER (M.D.), then check state licensing separately.
Can I rely on DR. CHARLES HERMAN KUTTNER (M.D.) being an active provider?
As of the registry snapshot, DR. CHARLES HERMAN KUTTNER (M.D.) is marked active.
What taxonomy line describes DR. CHARLES HERMAN KUTTNER (M.D.)?
For research purposes, treat DR. CHARLES HERMAN KUTTNER (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CHARLES HERMAN KUTTNER (M.D.)?
DR. CHARLES HERMAN KUTTNER (M.D.)'s geographic hint is Portland, Oregon in our summary view.
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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