Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kip Bunn Flory Beckwith

Physician Assistant β€’ Klamath Falls, OR

Active NPI 1023738010 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2821 Daggett Ave Ste 100
Klamath Falls, OR 976011130

Call 5412746556 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2821 Daggett Ave Ste 100

Klamath Falls, OR 976011130

Telephone 5412746556
Organization at the Same NPPES Address or Phone
Sky Lakes Medical Center Inc Facility NPI 1649446691

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Sky Lakes Medical Center Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kip Beckwith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kip Beckwith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Klamath Falls and Oregon

47 active clinicians are listed under Physician Assistant with a practice address in Klamath Falls, OR (2,095 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Klamath Falls

8.5% of these 47 clinicians have the CMS telehealth indicator.

61.7% of these 47 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241127001507

Enrollment State Jurisdiction

OR

PECOS Control ID

3173058120

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sky Lakes Medical Center Inc

2865 Daggett Ave, Klamath Falls, OR 976011106

Sky Lakes Medical Center Inc

2865 Daggett Ave, Klamath Falls, OR 976011106

Sky Lakes Medical Center Inc

2865 Daggett Ave, Klamath Falls, OR 976011106

Phone: 5412746221

Sky Lakes Medical Center Inc

2801 Daggett Ave, Klamath Falls, OR 976017150

Phone: 5412746221

Sky Lakes Medical Center Inc

2821 Daggett Ave, Klamath Falls, OR 976011106

Phone: 5412746733

Secondary Practice Locations

2730 S Moody Ave

Portland, OR 972015042

Phone: 5034943633

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Gulreen Kassoo

Emergency Medicine

NPI 1851928006

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location November 18, 2024

Registered at 2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 976011130 (Tel: 5412746556)

βœ…
NPI Profile Active August 30, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 30, 2022

Registered at 2730 S MOODY AVE, PORTLAND, OR 972015042 (Tel: 5034943633)

πŸ“
Business Mailing Address (Initial Record) August 30, 2022

Registered at 2730 S MOODY AVE, PORTLAND, OR 972015042

πŸ‘€
Provider Name / Credentials (Initial Record) August 30, 2022

Recorded as KIP BECKWITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 30, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1023738010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2022
Last Update: November 18, 2024
Sole Proprietor: No

Other Physician Assistants in Klamath Falls

All Physician Assistants in Klamath Falls

Mailing Address

2730 S Moody Ave

Portland, OR 972015042

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.