KRISTINE A KRUGER (MD) – Family Medicine Physician, NPI 1457307977

KRISTINE A KRUGER (MD) is a healthcare provider. based in Canby, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD23411 (OR). The NPI Number for KRISTINE A KRUGER (MD) is 1457307977

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE A KRUGER (MD)
NPI
1457307977
Phone
(503) 416-4547
Address
178 SW 2nd Ave
Enumeration Date
26 May 2006
Last Update Date
20 April 2020

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032159500
Graduation Year
1998 (28 years ago)
PAC ID
3577557792
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20040412000805
Address ID
OR970305506GR440XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

Provider Addresses for KRISTINE A KRUGER (MD)

  • 178 SW 2nd Ave

    Canby, OR 970134152

    Phone: (503) 416-4547

    Fax: (503) 416-4553

    Type: Location

  • 10330 SE 32ND AVE STE 325

    PORTLAND, OR 972226656

    Phone: (503) 416-1960

    Fax: (503) 416-1959

    Type: Location

  • 7320 SW HUNZIKER RD STE 300

    PORTLAND, OR 972232302

    Phone: (503) 941-3033

    Fax: (503) 747-7013

    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.

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: 2004-04-12

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
I20040412000805IFamily PracticeORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7450$0
36415Insertion of needle into vein for collection of blood sample4939$0
99215Established patient office or other outpatient visit, 40-54 minutes3430$0
83036Hemoglobin a1c level1814$0
G0008Administration of influenza virus vaccine1615$0
View full utilization report →

Insurance plans in this area (ZIP 97013)

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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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

What is the registry number for KRISTINE A KRUGER (MD)?
The registry entry for KRISTINE A KRUGER (MD) shows NPI 1457307977.
Quick check: is KRISTINE A KRUGER (MD) active?
Public NPPES data shows KRISTINE A KRUGER (MD) with an active NPI status right now.
Which specialty label fits KRISTINE A KRUGER (MD)?
NPPES ties KRISTINE A KRUGER (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KRISTINE A KRUGER (MD) in Canby, Oregon?
For routing, start with Canby, Oregon for KRISTINE A KRUGER (MD), then verify phone and hours locally.
Why is information missing for KRISTINE A KRUGER (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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