Unknown Individual – Emergency Medicine Physician, NPI 1063565349
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Columbia Memorial Hospital, 2111, Exchange Street, Uppertown, Astoria, Clatsop County, Oregon, 97103, United States
ASTORIA, OR 971033329
Phone: (503) 325-4321
Type: Location
12830, Southeast Crest Drive, Happy Valley, Clackamas County, Oregon, 97086, United States
HAPPY VALLEY, OR 972366386
Phone: (503) 761-7877
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $632.
Total Amount is formed as General ($632) + Research ($0) + Ownership ($0) = $632.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Merz North America, Inc. ($581).
Total Amount
$632
General + Research + Ownership
Payments
10
Total payment records
General Amount
$632
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $581 |
| ABBVIE INC. | $52 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 48 | 46 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 33 | 33 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 17 | 17 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Emergency Medicine | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Emergency Medicine | OR | |
| Nurse Practitioner | OR | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR |
Reviews
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