Kellen Earl Plomski, OD, MPH in Clackamas, OR

Kellen Earl Plomski, OD, MPH is a medicare enrolled "Optometrist" provider in Clackamas, Oregon. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 12100 Se Stevens Ct Ste 106, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (800) 813-2000.

Kellen Earl Plomski is licensed to practice in Oregon (license number 4447ATI) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902461361.

Contact Information

	Kellen Earl Plomski, OD, MPH
	12100 Se Stevens Ct Ste 106, Clackamas, OR 97086-4707
	(800) 813-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellen Earl Plomski
Gender	Male
Speciality	Optometry
Experience	7 Years
Location	12100 Se Stevens Ct Ste 106, Clackamas, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellen Earl Plomski graduated from medical school in 2019

NPI Data:

NPI Number: 1902461361
Provider Enumeration Date: 05/01/2019
Last Update Date: 01/14/2026

Medicare PECOS Information:

PECOS PAC ID: 4183050784
Enrollment ID: I20200129002906

Medical Identifiers

Medical identifiers for Kellen Earl Plomski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902461361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4447ATI (Oregon)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Northwest	5799688230	1498

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellen Earl Plomski allows following entities to bill medicare on his behalf.

Provider Name	Kaiser Foundation Health Plan Of The Northwest
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Provider Name	Tigard Vision Center, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821083635 PECOS PAC ID: 1355339300 Enrollment ID: O20040506000324

Provider Name	Murray Scholls Optique Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598751802 PECOS PAC ID: 1658357967 Enrollment ID: O20040628000545

Provider Name	West Linn Vision Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043769227 PECOS PAC ID: 7315227634 Enrollment ID: O20180222000461

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellen Earl Plomski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kellen Earl Plomski, OD, MPH 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (800) 813-2000	Kellen Earl Plomski, OD, MPH 12100 Se Stevens Ct Ste 106, Clackamas, OR 97086-4707 Ph: (800) 813-2000

Reviews and Comments

Optometrist in Clackamas, OR

Dr. Julia Sirianni, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Rachel A Jorgensen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321
John William Reski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Mark Edward Mclain, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Suite 106, Clackamas, OR 97086 Phone: 503-353-7269
Bruce Robert Wojciechowski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Sydney Kapp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321
Dr. Beth Rachel Gabbard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12817 Se 93rd Ave, Clackamas, OR 97015 Phone: 503-783-3300 Fax: 503-783-3319

Kellen Earl Plomski, OD, MPH - Medicare Optometrist in Clackamas, OR