DR. HYON SOO HAROLD KIM MD
NPI 1700924719
Otolaryngology - Otology & Neurotology in Portland, OR
Quality Rating: 85.22 out of 100 score
NPI Status: Active since February 02, 2007
Contact Information
2230 NW PETTYGROVE ST
STE 120
PORTLAND, OR
ZIP 97210
Phone: (503) 444-7676
Fax: (971) 319-6647
- Individual
- Male
- Years of Experience 29
- Otolaryngology
- Otology & Neurotology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About HYON SOO HAROLD KIM
This page provides the complete NPI Profile along with additional information for Hyon Soo Harold Kim, a provider established in Portland, Oregon with a medical specialization in Otolaryngology, focusing in otology & neurotology and more than 29 years of experience. He graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1997. The healthcare provider is registered in the NPI registry with number 1700924719 assigned on February 2007. The practitioner's primary taxonomy code is 207YX0901X with license number MD24993 (OR). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1700924719
- Provider Name
- DR. HYON SOO HAROLD KIM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2230 NW PETTYGROVE ST STE 120 PORTLAND, OR 97210
- Location Phone
- (503) 444-7676
- Location Fax
- (971) 319-6647
- Mailing Address
- 2230 NW PETTYGROVE ST STE 120 PORTLAND, OR 97210
- Mailing Phone
- (503) 444-7676
- Mailing Fax
- (971) 319-6647
- Medical School Name
- ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-02-2007
- Last Update Date
- 03-07-2016
- 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
Otolaryngology Otology & Neurotology
- Taxonomy Code
- 207YX0901X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD24993
- License State
- OR
- Taxonomy Description
- An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Connect 1500 Gold - EPO
- Connect 5000 Silver - EPO
- Connect 9200 Bronze - EPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 022701 | MEDICAID (05) | OR | |
| R185055 | MEDICARE PIN (08) | OR |
Medicare Participation & PECOS Enrollment Status
Hyon Soo Harold Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Hyon Soo Harold Kim 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
PECOS PAC ID: 7618065780
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20071127000213
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Analysis and reprogramming of inner ear implant (7 years or older)
Comprehensive hearing and speech recognition test
Established patient office or other outpatient visit, 20-29 minutes
Evaluation of hearing function related to surgically implanted hearing device, first hour
New patient office or other outpatient visit, 30-44 minutes
Test for hearing various pitches using earphone and device placed against the bone
Test to assess middle ear function
An analysis and reprogramming of an inner ear implant involves checking the device's performance and adjusting its settings for optimal hearing. This non-invasive procedure helps ensure the implant continues to meet the patient's hearing needs.
This service was performed 48 times for 19 patientsA comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
This service was performed 124 times for 93 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 157 times for 99 patientsThis procedure assesses how well your surgically implanted hearing device is working. It involves a series of tests conducted over an hour to measure your hearing ability and device performance. It's a crucial step in ensuring your hearing health.
This service was performed 14 times for 14 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 51 times for 51 patientsThis is a hearing test that checks your ability to hear different pitches or frequencies. It involves wearing earphones and placing a device against your bone, usually behind the ear. It helps identify any hearing issues you might have.
This service was performed 14 times for 12 patientsA test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
This service was performed 60 times for 49 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.22, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 85.22 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 76.88
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 86
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 85.52
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 85.52
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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 |
|---|---|---|
| Acute Otitis Externa (AOE): Topical Therapy | 50% | 20 |
| Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations | ||
| 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. | ||
| Documentation of Current Medications in the Medical Record | 98% | 1928 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 96% | 342 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| 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. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 100% | 635 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 0% | 1068 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 84% | 690 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 69% | 1068 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 4% | 1068 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| 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. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Hyon Soo Harold Kim is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LEGACY GOOD SAMARITAN MEDICAL CENTER | 1015 NW 22ND AVENUE, W121 PORTLAND, OR 97210 | (503) 413-7682 | Acute Care Hospitals |
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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 | 7 | 0 | 0 | 9 | 2 | 4 | 7 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 18 | 2 | 8 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 8 + 2 + 8 + 7 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1700924719 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740288158 | STANLEY A MYERS M.D. Individual | Urology | 2230 NW PETTYGROVE ST STE 210 PORTLAND, OR 97210 (503) 223-6223 |
| 1760411466 | DR. GAIL OTT D.C. Individual | Chiropractor | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1619995172 | NORTHWEST UROLOGICAL CLINIC PC Organization | Specialist | 2230 NW PETTYGROVE ST SUITE 210 PORTLAND, OR 97210 (503) 223-6223 |
| 1609965870 | KATHY GOFF L.P.N., SA-C Individual | Clinical Nurse Specialist (Medical-Surgical) | 2230 NW PETTYGROVE ST SUITE 210 PORTLAND, OR 97210 (503) 223-6223 |
| 1629119243 | KATHERINE SEMSCH L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1326189945 | JOYCE SOUZA L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE. 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1659412286 | CRISTINE M WAKEFIELD L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE. 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1215078837 | AUTUMN LEAH PETERSON L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE. 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1588874945 | MS. JOY ILYNN OLSON L.M.T. Individual | Specialist | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1962603175 | DR. DANIEL AARON HIRSELJ M.D. Individual | Urology (Pediatric Urology) | 2230 NW PETTYGROVE ST SUITE #210 PORTLAND, OR 97210 (503) 223-6223 |
| 1336336643 | DR. JESSIE ANN SPEIRS N.D. Individual | Naturopath | 2230 NW PETTYGROVE ST #120 PORTLAND, OR 97210 (503) 222-2322 |
| 1043464910 | MARGO RENEE SPERRY-HUDSON LMT Individual | Specialist | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1962630723 | ALEXI SARA HEDLUND LMT Individual | Chiropractor | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1093050163 | DR. SHANE HARRISON OTT D.C. Individual | Chiropractor | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1114268117 | JASMIN L CATOE-GANAHL L.M.T. Individual | Massage Therapist | 2230 NW PETTYGROVE ST SUITE 140 PORTLAND, OR 97210 (503) 224-1818 |
| 1124288386 | PATRICIA LEE FLETTER AU.D, CCC-A Individual | Audiologist | 2230 NW PETTYGROVE ST STE 120 PORTLAND, OR 97210 (503) 444-7676 |
| 1144698309 | NORTHWEST UROLOGY, LLC Organization | Non-Pharmacy Dispensing Site | 2230 NW PETTYGROVE ST PORTLAND, OR 97210 (503) 223-6223 |
| 1841674280 | NORTHWEST EAR INSTITUTE PC Organization | Otolaryngology (Otology & Neurotology) | 2230 NW PETTYGROVE ST STE. 120 PORTLAND, OR 97210 (503) 444-7676 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700924719, enumerated in the NPI registry as an "individual" on February 02, 2007
The provider is located at 2230 Nw Pettygrove St Ste 120 Portland, Or 97210 and the phone number is (503) 444-7676
The provider's speciality is Otolaryngology with taxonomy code 207YX0901X with a focus in Otology & Neurotology
The provider has more than 29 years of experience. He graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1997.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information , coordinates care and seeks improvement of health outcomes.
The most common procedures or services performed by this practitioner are: Analysis and reprogramming of inner ear implant (7 years or older), Comprehensive hearing and speech recognition test, Established patient office or other outpatient visit, 20-29 minutes, Evaluation of hearing function related to surgically implanted hearing device, first hour, New patient office or other outpatient visit, 30-44 minutes, Test for hearing various pitches using earphone and device placed against the bone and Test to assess middle ear function.
The practitioner is affiliated to the following hospital(s): LEGACY GOOD SAMARITAN MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on February 02, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.