Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Matthew Baltrusch, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1952741779

Kyle Matthew Baltrusch, MD is a Plastic and Reconstructive Surgery in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2015, 11 years ago. Practices with Portland Plastic Surgery Group, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 NW Naito Pkwy Ste 310
Portland, OR 97209-2829
Phone: (503) 292-9200
Fax: (503) 292-9205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD205639 (OR)

Record details

NPI number1952741779
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Portland Plastic Surgery Group, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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