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Dr. Kathleen Stacie Theilacker , AuD

Audiologist • Clackamas, OR

Active NPI 1205348166 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

9280 Se Sunnybrook Blvd Ste 300
Clackamas, OR 970159353

Call 5032335548 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9280 Se Sunnybrook Blvd Ste 300

Clackamas, OR 970159353

Telephone 5032335548
Fax 5032301009
Organization at the Same NPPES Address or Phone
Eastmoreland Ear, Nose & Throat, Clinic, Llp Facility NPI 1386754398

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: The Oregon Clinic, Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Medicare patients

115 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $6,152 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $4,085 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Theilacker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Clackamas and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Audiologist in Oregon (2024, 74 clinicians with data). Median for this group: 209. Middle half: 119 to 292.

Too few clinicians listed under Audiologist in Clackamas have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Audiologist in Oregon (2024, 74 clinicians with data). Median for this group: $6,169. Middle half: $3,033 to $8,843.

Too few clinicians listed under Audiologist in Clackamas have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Audiologist in Oregon (2024, 74 clinicians with data). Median for this group: $4,248. Middle half: $2,095 to $6,308.

Too few clinicians listed under Audiologist in Clackamas have Medicare Part B data for 2024 to compare.

13 active clinicians are listed under Audiologist with a practice address in Clackamas, OR (320 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clackamas

0% of these 13 clinicians have the CMS telehealth indicator.

38.5% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2022–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
92557 Comprehensive hearing and speech recognition test
118 111 $125.00 $36.83
92567 Test to assess middle ear function
108 102 $50.36 $16.72

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-14
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES OR 31052

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

License # reported to NPPES CA 4382
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED AUDIOLOGIST

Medicare Enrollment ID

I20221003002999

Enrollment State Jurisdiction

OR

PECOS Control ID

0345626008

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The Oregon Clinic, Pc

9155 Sw Barnes Rd, Portland, OR 972256634

Phone: 5032971351

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. James Chan , MD

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1972543106

Doctor of Medicine (M.D.)

Dr. Valerie Ing , DO

Internal Medicine - Sleep Medicine

NPI 1356743041

Doctor of Osteopathic Medicine (D.O.)

Kathryn Leavitt

Otolaryngology

NPI 1467871277
Dr. Aleen Lee , MD

Otolaryngology

NPI 1134447741

Doctor of Medicine (M.D.)

Dr. Hillary Lowenstein , MD

Psychiatry & Neurology - Sleep Medicine

NPI 1356548903

Doctor of Medicine (M.D.)

Thina Nguyen , PA-C

Physician Assistant

NPI 1861057291

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location September 09, 2022

Registered at 9280 SE SUNNYBROOK BLVD STE 300, CLACKAMAS, OR 970159353 (Tel: 5032335548)

📍
Updated Business Mailing Address September 09, 2022

Registered at 9280 SE SUNNYBROOK BLVD STE 300, CLACKAMAS, OR 970159353 (Tel: 5032335548)

👤
Provider Name / Credentials Updated September 09, 2022

Recorded as KATHLEEN THEILACKER, AUD

✅
NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) November 01, 2017

Registered at 3759 RIDGE LINE DR, SAN BERNARDINO, CA 924074172 (Tel: 9096778255)

📍
Business Mailing Address (Initial Record) November 01, 2017

Registered at 3759 RIDGE LINE DR, SAN BERNARDINO, CA 924074172

👤
Provider Name / Credentials (Initial Record) November 01, 2017

Recorded as KATHLEEN KING, SLPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2017

Specialist/Technologist (license number reported to NPPES: CA 4382)

🟢
Initial NPI Registration & Enumeration November 01, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205348166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2017
Last Update: September 14, 2022
Sole Proprietor: No

Other Audiologists in Clackamas

Healthcare providers in Clackamas

Mailing Address

9280 Se Sunnybrook Blvd Ste 300

Clackamas, OR 970159353

Phone: 5032335548

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.