Doctor profile · Federal record
Dr. Ethan Kimball, DO
Emergency Medicine Physician (CMS: Emergency Medicine) · Student in an Organized Health Care Education/Training Program · Portland, OR
- NPI 1407484934
- Accepts Medicare
- MIPS 90.5 / 100 · 2023
- 6 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3181 Sw Sam Jackson Park RD
Portland, OR 972393011
(503) 494-8211 - Additional location
-
930 Sw Abbey St
Newport, OR 973654820
(541) 265-2244
Credentials & registration
- NPI registered
- March 2020 — 6 yrs on file
- Profile last updated
- January 17, 2023
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- Oregon #DO209426
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407484934. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
102
Distinct HCPCS
3
Medicare allowed
$15,535
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 76 | 74 | $171 | |
99284 |
Emergency department visit with moderate level of medical decision making | 14 | 14 | $119 | |
99283 |
Emergency department visit with low level of medical decision making | 12 | 12 | $70 |
In context: peer comparison
Among 92 peers in Portland Emergency Medicine Physician, average services per provider: 59. This provider delivers 1.7× the peer median.Open Payments
Industry payments received
All-time total
$28
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mindray Ds USA, INC. | 1 | $27.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
39
Patients
39
Total drug cost
$263
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 16 | 16 | $38 |
| Cephalexin | Generic | 12 | 12 | $131 |
| Ondansetron Odt (Ondansetron) | Brand | 11 | 11 | $94 |
Hospital affiliations
Frequently asked questions
What is Dr. Ethan Kimball's medical specialty?
Dr. Ethan Kimball practices Emergency Medicine Physician in Portland, OR.
Where does Dr. Ethan Kimball practice?
Dr. Ethan Kimball practices at 3181 Sw Sam Jackson Park RD, Portland, OR 972393011. Office phone: 5034948211.
What is Dr. Ethan Kimball's NPI?
Dr. Ethan Kimball's National Provider Identifier (NPI) is 1407484934, issued by NPPES.
Does Dr. Ethan Kimball accept Medicare assignment?
Yes. Dr. Ethan Kimball accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ethan Kimball commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.