Ethan Kimball, DO
NPI 1407484934ActiveIndividual· Emergency Medicine· Portland, OR
Emergency Medicine (DO) in Portland, Oregon, trained at Touro Un College of Osteopathic Medicine, Vallejo (class of 2020). 226 Medicare patients in 2024, $29,684 paid; nearly all of their 102 Part D prescriptions were generic (90%). Mindray Ds USA, Inc. reported $23.40 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1407484934 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 30, 2020 |
| Last updated in NPPES | Nov 2, 2026 |
| Certified by provider | Nov 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | DO209426 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 226 |
|---|---|
| Services billed | 273 across 17 procedure codes |
| Paid by Medicare | $29,684 |
Part D prescriptions in 2024
| Prescriptions (claims) | 102 · 106 30-day fills |
|---|---|
| Patients | 55 |
| Total drug cost | $4,459 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | Touro Un College of Osteopathic Medicine, Vallejo |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Emergency Medicine |
Medical groups
- University Professional ServicesBeaverton, OR · 1,724 clinicians
- Tuality Medical Group LLCHillsboro, OR · 297 clinicians
- Portland Adventist Medical CenterPortland, OR · 271 clinicians
Hospital affiliations
- Adventist Health PortlandPortland, OR
- Hillsboro Medical CenterHillsboro, OR
- Ohsu Hospital and ClinicsPortland, OR
Industry payments (Open Payments)
- 2025$23.40 · 1 payment from 1 company
- 2024$27.98 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mindray Ds USA, Inc. | $23.40 | 1 |
What the 2025 payments were for
- Food and Beverage$23.40 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 338 emergency medicine physicians in Portland · All emergency medicine physicians in Oregon