Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Kimberly A Shields , DO

Family Medicine โ€ข Portland, OR

Active NPI 1104841543 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1321 Ne 99th Ave, Suite 200
Portland, OR 972209436

Call 5032154250 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

1321 Ne 99th Ave
Suite 200

Portland, OR 972209436

Telephone 5032154250
Fax 5032154255
Organization at the Same NPPES Address or Phone
Providence Health & Services - Oregon Facility NPI 1790881498

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

CMS Doctors and Clinicians lists 1 group name: Advanced Internal Medicine Group Pc. 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

University Of North Texas Hsc, College Of Osteopathic Med

Graduation Year

2002

Medicare patients

103 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $28,960 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $22,072 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

2,463 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$89,037 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

24 years (graduated 2002)

CMS Doctors and Clinicians data list 2002 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

2006

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Dr. Shields 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 Dr. Shields 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 Portland and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Family Medicine in Portland, OR (2024, 222 clinicians with data). Median for this group: 204. Middle half: 86 to 339.

Close to the middle for clinicians listed under Family Medicine in Oregon (2024, 1,176 clinicians with data). Median for this group: 284. Middle half: 113 to 610.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Family Medicine in Portland, OR (2024, 222 clinicians with data). Median for this group: $13,805. Middle half: $6,299 to $22,473.

A higher Medicare-allowed amount than 60% of clinicians listed under Family Medicine in Oregon (2024, 1,176 clinicians with data). Median for this group: $20,663. Middle half: $8,004 to $44,860.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Family Medicine in Portland, OR (2024, 222 clinicians with data). Median for this group: $9,308. Middle half: $4,386 to $14,908.

A higher Medicare payment amount than 60% of clinicians listed under Family Medicine in Oregon (2024, 1,176 clinicians with data). Median for this group: $14,214. Middle half: $5,405 to $31,781.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Family Medicine in Portland, OR (2024, 381 clinicians with data). Median for this group: 1,152. Middle half: 267 to 2,725.

Close to the middle for clinicians listed under Family Medicine in Oregon (2024, 1,859 clinicians with data). Median for this group: 1,531. Middle half: 270 to 3,867.

Part D drug cost

Close to the middle for clinicians listed under Family Medicine in Portland, OR (2024, 381 clinicians with data). Median for this group: $69,849. Middle half: $6,507 to $167,836.

Close to the middle for clinicians listed under Family Medicine in Oregon (2024, 1,859 clinicians with data). Median for this group: $93,309. Middle half: $8,353 to $252,679.

562 active clinicians are listed under Family Medicine with a practice address in Portland, OR (2,852 in Oregon).

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

Telehealth indicator in Portland

27.8% of these 562 clinicians have the CMS telehealth indicator.

57.5% of these 562 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
127 81 $50.94 $16.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
92 58 $434.27 $184.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
61 48 $364.08 $123.35
36415 Insertion of needle into vein for collection of blood sample
32 27 $12.28 $8.65
G0008 Administration of influenza virus vaccine
19 19 $72.89 $33.23
90653 Influenza vaccine, inactivated
18 18 $115.00 $81.82

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 116 9,850 $2,131.50 43
Rosuvastatin Calcium Rosuvastatin Calcium 92 7,760 $1,290.41 42
Levothyroxine Sodium Levothyroxine Sodium 58 4,835 $1,039.24 23
Metoprolol Succinate Metoprolol Succinate 58 3,935 $667.80 17
Gabapentin Gabapentin 51 3,061 $1,413.62 18
Amlodipine Besylate Amlodipine Besylate 48 4,400 $353.91 19
Metformin Hcl Er Metformin Hcl 46 2,923 $513.54 18
Escitalopram Oxalate Escitalopram Oxalate 39 2,714 $736.66 14
Lisinopril Lisinopril 35 3,010 $370.71 15
Spironolactone Spironolactone 31 1,328 $331.16 โ€”
Losartan Potassium Losartan Potassium 30 2,730 $415.73 15
Omeprazole Omeprazole 30 2,540 $697.07 19
Bupropion Xl Bupropion Hcl 30 1,904 $975.91 โ€”
Furosemide Furosemide 29 1,410 $194.46 โ€”
Metformin Hcl Metformin Hcl 27 2,190 $236.80 โ€”
Fluoxetine Hcl Fluoxetine Hcl 27 2,082 $312.38 โ€”
Eliquis Apixaban 26 1,460 $28,191.26 12
Trazodone Hcl Trazodone Hcl 23 2,070 $230.28 โ€”
Xarelto Rivaroxaban 20 600 $11,433.70 โ€”
Ipratropium Bromide Ipratropium Bromide 18 723 $739.63 โ€”
Alendronate Sodium Alendronate Sodium 17 1,428 $140.29 โ€”
Potassium Chloride Potassium Chloride 17 1,110 $548.07 โ€”
Estradiol Estradiol 15 1,150 $966.98 โ€”
Trulicity Dulaglutide 15 476 $16,327.19 โ€”
Irbesartan Irbesartan 14 1,280 $200.20 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-05
Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

License # reported to NPPES OR DO25452

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
023123 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - FAMILY PRACTICE

Medicare Enrollment ID

I20050912000151

Enrollment State Jurisdiction

OR

PECOS Control ID

1951334952

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

Advanced Internal Medicine Group Pc

9555 Sw Barnes Rd, Portland, OR 972256654

Phone: 5039081590

Clinicians Sharing This Practice Address or Phone

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

22 listed
Dr. Mahnaz Ahmad , MD

Internal Medicine

NPI 1124046727

Doctor of Medicine (M.D.)

Dr. Rima Chamie , MD

Family Medicine

NPI 1316993801

Doctor of Medicine (M.D.)

NPI 1104856285

Doctor of Medicine (M.D.)

NPI 1124606975

Doctor of Medicine (M.D.)

Ineke Glavor , PA-C

Physician Assistant

NPI 1467722629

Physician Assistant (Certified)

Penny Gneiting , PA

Physician Assistant

NPI 1306085956

Physician Assistant

Career & Practice History

NPI enumerated July 13, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1104841543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2006
Last Update: October 05, 2020
Sole Proprietor: No

Other Family Medicine Providers in Portland

All Family Medicine Providers in Portland

Mailing Address

Po Box 3158

Portland, OR 972083158

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.