KATHRYN LEAVITT – Otolaryngology Physician, NPI 1467871277

KATHRYN LEAVITT is a healthcare provider. based in Clackamas, Oregon. specializing in Otolaryngology Physician. They hold a License No. 65324 (WI). The NPI Number for KATHRYN LEAVITT is 1467871277

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN LEAVITT
NPI
1467871277
Phone
(503) 233-5548
Address
9280 SE SUNNYBROOK BLVD STE 300
Enumeration Date
8 April 2014
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5032335548
Graduation Year
2014 (12 years ago)
PAC ID
8426272824
Group Practice PAC ID
5799758785
Professional Enrollment ID
I20190603000418

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

Provider Addresses for KATHRYN LEAVITT

  • 9280 SE SUNNYBROOK BLVD STE 300

    CLACKAMAS, OR 970159353

    Phone: (503) 233-5548

    Type: Mailing

  • Uw Hospital and Clinics

    600 Highland Ave, H4/831

    Madison, WI 537920001

    Phone: (608) 263-0192

    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: 2021-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190603000418IOtolaryngologyORTBD
I20210330000741IOtolaryngologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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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: 5799758785View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YOR
Qualified AudiologistCA
Qualified AudiologistOR
O T O L A R Y N G O L O G YCA
-OR
-OR
Qualified AudiologistOR
Physician AssistantOR
O T O L A R Y N G O L O G YOR
Otolaryngology, Maxillofacial Surgery, Plastic And Reconstructive SurgeryOR

Reviews

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Frequently asked questions

Can I cross-check KATHRYN LEAVITT using NPI 1467871277?
NPI 1467871277 belongs to KATHRYN LEAVITT; compare other details if you need extra assurance.
Is KATHRYN LEAVITT shown as active in public data?
Registry records indicate KATHRYN LEAVITT maintains an active NPI.
What area of care is associated with KATHRYN LEAVITT?
KATHRYN LEAVITT's record emphasizes Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is KATHRYN LEAVITT located near Clackamas?
KATHRYN LEAVITT currently maps to Clackamas, Oregon in this extract.
When was this NPI issued?
Enumeration for KATHRYN LEAVITT is noted as April 8, 2014 where the registry provides it.

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