DR. KARL NICHOLAS KALUZA (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1760431175
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
88 SPORTS MEDICINE in OR
Provider Addresses for DR. KARL NICHOLAS KALUZA (D.O.)
1 N Center Court St Ste 110
Portland, OR 972272104
Phone: (360) 254-6161
Fax: (360) 449-1146
Type: Location
Northeast Mother Joseph Place, Vancouver, Clark County, Washington, 98664, United States
VANCOUVER, WA 986643295
Phone: (360) 254-6161
Fax: (360) 449-1146
Type: Mailing
Meadows Road, Holly Orchard, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States
LAKE OSWEGO, OR 970352542
Phone: (360) 254-6161
Fax: (360) 449-1146
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-01-15 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-09-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080925000480 | I | Sports Medicine | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 146 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 27 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 38 | 25 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 34 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 97227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Family Practice, Sports Medicine | OR | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | OR | |
| - | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery, Hand Surgery, Orthopedic Surgery | WA | |
| Physician Assistant | OR | |
| - | WA |
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