ETHAN CHAUNCEY KORNGOLD (MD) – Interventional Cardiology Physician, NPI 1568452738

ETHAN CHAUNCEY KORNGOLD (MD) is a healthcare provider. based in Portland, Oregon. specializing in Interventional Cardiology Physician. They hold the professional credentials MD. They hold a License No. 217916 (MA). The NPI Number for ETHAN CHAUNCEY KORNGOLD (MD) is 1568452738

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN CHAUNCEY KORNGOLD (MD)
NPI
1568452738
Phone
Not provided
Address
PO BOX 3158
Enumeration Date
27 October 2005
Last Update Date
19 March 2021

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5039621000
Graduation Year
2001 (25 years ago)
PAC ID
0345248464
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20090826000937

Contacts

Secure Messaging
ekorngold102395@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

Loading map...

Provider Addresses for ETHAN CHAUNCEY KORNGOLD (MD)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    SUITE 498

    PORTLAND, OR 972256652

    Phone: (503) 216-0900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 207 Open Payments records for all available years, with a total value of $122,093.

Total Amount is formed as General ($122,093) + Research ($0) + Ownership ($0) = $122,093.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Abbott Laboratories ($97,500).

Total Amount

$122,093

General + Research + Ownership

Payments

207

Total payment records

General Amount

$122,093

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes109108$0
33361Replacement of aortic valve through the skin and femoral artery5959$0
93970Ultrasound study of arm or leg veins with compression and maneuvers5252$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers4544$0
99205New patient office or other outpatient visit, 60-74 minutes4343$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

Loading plans...

Provider's Procedures

ETHAN CHAUNCEY KORNGOLD (MD) performs procedures in Interventional Cardiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYOR93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart2121

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for ETHAN CHAUNCEY KORNGOLD (MD)?
The registry entry for ETHAN CHAUNCEY KORNGOLD (MD) shows NPI 1568452738.
Quick check: is ETHAN CHAUNCEY KORNGOLD (MD) active?
Public NPPES data shows ETHAN CHAUNCEY KORNGOLD (MD) with an active NPI status right now.
What services align with ETHAN CHAUNCEY KORNGOLD (MD)'s listing?
ETHAN CHAUNCEY KORNGOLD (MD)'s public classification highlights Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Is ETHAN CHAUNCEY KORNGOLD (MD) tied to Portland, Oregon?
If you are local to Portland, Oregon, ETHAN CHAUNCEY KORNGOLD (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

DR. DAVID S. PEIZNER (M.D.)

Interventional Cardiology Physician
3777, Southeast Naef Road, Concord, Portland, Metro, Clackamas County, Oregon, 97267, United States
NPI: 1245235233

DR. ELI A. ROSENTHAL (M.D.)

Interventional Cardiology Physician
3777, Southeast Naef Road, Concord, Portland, Metro, Clackamas County, Oregon, 97267, United States
NPI: 1356346399

DR. PETER FREDERICK BANITT (M.D.)

Interventional Cardiology Physician
11000 SW Stratus St Ste 305
NPI: 1831194737

CHRISTOPHER E CANNON (MD)

Interventional Cardiology Physician
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
NPI: 1487650586

NAJI M HAMDAN (M.D.)

Cardiovascular Disease Physician
1960 NW 167TH PL., SUITE 205
NPI: 1679570873

DR. SAMUEL S.M. LAU (M.D.)

Interventional Cardiology Physician
960 N 16TH ST., SUITE 304
NPI: 1811995087

DR. DAVID E WU (M.D.)

Interventional Cardiology Physician
Northwest Naito Parkway, Chinatown, Old Town, Portland, Metro, Multnomah County, Oregon, 97240, United States
NPI: 1063404739

ROBERT WALTER HODSON (MD)

Interventional Cardiology Physician
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
NPI: 1699767137

JASON ROLAND WOLLMUTH (M.D.)

Interventional Cardiology Physician
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
NPI: 1164498499