HILLARY ELIZABETH RACHEL LOWENSTEIN M.D.
NPI 1356548903
Psychiatry & Neurology - Sleep Medicine in Clackamas, OR
NPI Status: Active since June 28, 2007
Contact Information
9280 SE SUNNYBROOK BLVD
SUITE 300
CLACKAMAS, OR
ZIP 97015
Phone: (503) 233-5548
- Individual
- Female
- Psychiatry & Neurology
- Sleep Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About HILLARY LOWENSTEIN
This page provides the complete NPI Profile along with additional information for Hillary Lowenstein, a provider established in Clackamas, Oregon with a medical specialization in Psychiatry & Neurology, focusing in sleep medicine . The healthcare provider is registered in the NPI registry with number 1356548903 assigned on June 2007. The practitioner's primary taxonomy code is 2084S0012X with license number MD161803 (OR). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1356548903
- Provider Name
- HILLARY ELIZABETH RACHEL LOWENSTEIN M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9280 SE SUNNYBROOK BLVD SUITE 300 CLACKAMAS, OR 97015
- Location Phone
- (503) 233-5548
- Mailing Address
- 9280 SE SUNNYBROOK BLVD SUITE 300 CLACKAMAS, OR 97015
- Mailing Phone
- (503) 233-5548
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-28-2007
- Last Update Date
- 03-18-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Sleep Medicine
- Taxonomy Code
- 2084S0012X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD161803
- License State
- OR
- Taxonomy Description
- A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Medicare Participation & PECOS Enrollment Status
Hillary Lowenstein is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)
11 DME suppliers used 58 Medicare Claims 58 Services Paid
DME-Other DME (DE001N)
Full face mask used with positive airway pressure device, each (HCPCS:A7030)
9 DME suppliers used 35 Medicare Claims 35 Services Paid
DME-Other DME (DE001N)
Face mask interface, replacement for full face mask, each (HCPCS:A7031)
9 DME suppliers used 33 Medicare Claims 82 Services Paid
DME-Other DME (DE001N)
Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)
6 DME suppliers used 35 Medicare Claims 197 Services Paid
DME-Other DME (DE001N)
Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)
2 DME suppliers used 15 Medicare Claims 74 Services Paid
DME-Other DME (DE001N)
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)
7 DME suppliers used 46 Medicare Claims 46 Services Paid
DME-Other DME (DE001N)
Headgear used with positive airway pressure device (HCPCS:A7035)
10 DME suppliers used 46 Medicare Claims 46 Services Paid
DME-Other DME (DE001N)
Tubing used with positive airway pressure device (HCPCS:A7037)
5 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
13 DME suppliers used 75 Medicare Claims 424 Services Paid
DME-Other DME (DE001N)
Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)
6 DME suppliers used 18 Medicare Claims 18 Services Paid
DME-Other DME (DE001N)
Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)
7 DME suppliers used 27 Medicare Claims 27 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 97015 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.16
- Minimum New Patient Price $58.99
- Maximum New Patient Price $176.88
- Average New Patient Copayment $33.54
- Minimum New Patient Copayment $14.74
- Maximum New Patient Copayment $44.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.51
- Minimum Established Patient Price $19.32
- Maximum Established Patient Price $144.79
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.83
- Maximum Established Patient Copayment $36.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 8% | 929 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 5 | 4 | 8 | 9 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 10 | 4 | 16 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 0 + 4 + 1 + 6 + 9 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1356548903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649280371 | DR. ROBERT LEE ROBERTS D.O. Individual | Otolaryngology (Otolaryngology/Facial Plastic Surgery) | 9280 SE SUNNYBROOK BLVD SUITE 300 CLACKAMAS, OR 97015 (503) 233-5548 |
| 1447451794 | SHANE O ROGOSIN MD Individual | Internal Medicine (Medical Oncology) | 9280 SE SUNNYBROOK BLVD STE 200 CLACKAMAS, OR 97015 (503) 513-1900 |
| 1689836108 | PROVIDENCE HEALTH & SERVICES - OREGON Organization | Clinic/Center | 9280 SE SUNNYBROOK BLVD SUITE 200 CLACKAMAS, OR 97015 (503) 513-1900 |
| 1972543106 | JAMES CHAN MD Individual | Otolaryngology (Otolaryngology/Facial Plastic Surgery) | 9280 SE SUNNYBROOK BLVD SUITE 300 CLACKAMAS, OR 97015 (503) 233-5548 |
| 1053649475 | CLACKAMAS RADIATION ONCOLOGY CENTER Organization | Clinic/Center (Oncology, Radiation) | 9280 SE SUNNYBROOK BLVD SUITE 100 CLACKAMAS, OR 97015 (503) 215-1837 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356548903, enumerated in the NPI registry as an "individual" on June 28, 2007
The provider is located at 9280 Se Sunnybrook Blvd Suite 300 Clackamas, Or 97015 and the phone number is (503) 233-5548
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084S0012X with a focus in Sleep Medicine
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.16 with an average copayment of $33.54 for new patient appointments. Established patients should expect a typical charge of $103.51 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 28, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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