KENNETH R MAIER (MD) – Family Medicine Physician, NPI 1790700714

KENNETH R MAIER (MD) is a healthcare provider. based in La pine, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 5721 (AK). The NPI Number for KENNETH R MAIER (MD) is 1790700714

Main info

Male
61 Years Of Experience
Name
KENNETH R MAIER (MD)
NPI
1790700714
Phone
(541) 322-8830
Address
PO BOX 3300
Enumeration Date
12 July 2006
Last Update Date
24 February 2012

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5413228830
Graduation Year
1965 (61 years ago)
PAC ID
0446163638
Professional Enrollment ID
I20031113000557
Address ID
OR977023369BE61184LNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for KENNETH R MAIER (MD)

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    LA PINE, OR 977393300

    Phone: (541) 322-8830

    Type: Mailing

  • 51600, Huntington Road, La Pine, Deschutes County, Oregon, 97739, United States

    LA PINE, OR 977399626

    Phone: (541) 322-8830

    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: 2003-11-13

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
I20031113000557IFamily 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
90834Psychotherapy, 45 minutes5611$0
View full utilization report →

Insurance plans in this area (ZIP 97739)

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Reviews

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Frequently asked questions

What is the registry number for KENNETH R MAIER (MD)?
The registry entry for KENNETH R MAIER (MD) shows NPI 1790700714.
Is KENNETH R MAIER (MD)'s NPI status active today?
Active status means KENNETH R MAIER (MD)'s NPI record is not deactivated in the public file.
How should patients interpret KENNETH R MAIER (MD)'s specialty?
The extract shows Family Medicine Physician for KENNETH R MAIER (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENNETH R MAIER (MD)?
KENNETH R MAIER (MD) is associated with La Pine, Oregon in the same public data insurers reference.
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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