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Dr. Marshall Albert Canizalez , AuD

Audiologist โ€ข Gresham, OR

Active NPI 1376205278 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

24076 Se Stark St Ste 230
Gresham, OR 970303385

Call 5034882600 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

24076 Se Stark St Ste 230

Gresham, OR 970303385

Telephone 5034882600
Fax 5034655468
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Kaiser Foundation Health Plan Of The Northwest. 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

2021

Medicare-allowed amount

About $4,323 in 2023

The total amount Medicare approved for these services in 2023. 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 โ€“ by Provider and Service, 2023.

Paid by Medicare

About $2,932 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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 โ€“ by Provider and Service, 2023.

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 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

2021

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, โ€œDoes your provider accept Medicare as full payment?โ€

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. Canizalez 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 Gresham and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Canizalez are from 2023.

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

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022 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 โ€“ by Provider and Service data, 2023; 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
84 83 $127.00 $38.21
92567 Test to assess middle ear function
65 62 $56.00 $17.13

Source: CMS Part B by Provider and Service, 2023; 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: 2022-12-29
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES OR 31054

(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.

Audiologist

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES IL 147001852

(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.

Audiologist-Hearing Aid Fitter

NUCC Taxonomy Code: 237600000X

An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists".

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500813168 (OR)

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

I20231115002141

Enrollment State Jurisdiction

WA

PECOS Control ID

4880064732

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

Kaiser Foundation Health Plan Of The Northwest

203 Se Park Plaza Dr, Vancouver, WA 986845887

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

7101 Ne 137th Ave, Vancouver, WA 986824933

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

3600 N Interstate Ave, Portland, OR 972271106

Phone: 8008132000

Secondary Practice Locations

1111 Ne 99th Ave Ste 101

Portland, OR 972209442

Phone: 5034882626

Clinicians Sharing This Practice Address or Phone

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

13 listed
NPI 1811164262

Doctor of Medicine (M.D.)

NPI 1720028335

Doctor of Medicine (M.D.)

NPI 1194271262

Master of Public Health, MSHS, Physician Assistant (Certified)

Jenna Esterberg , PA-C

Physician Assistant

NPI 1932548161

Physician Assistant (Certified)

Dr. Nicole Frazier , AuD

Audiologist-Hearing Aid Fitter

NPI 1639515448

Doctor of Audiology

NPI 1114098696

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
๐Ÿ“
Updated Practice Location December 29, 2022

Registered at 24076 SE STARK ST STE 230, GRESHAM, OR 970303385 (Tel: 5034882600)

๐Ÿ“
Updated Business Mailing Address December 29, 2022

Registered at 847 NE 19TH AVE STE 300, PORTLAND, OR 972322686 (Tel: 5039632801)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2022

Audiologist (license number reported to NPPES: IL 147001852)

โœ…
NPI Profile Active October 07, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 07, 2021

Registered at 410 N MICHIGAN AVE, CHICAGO, IL 606114213 (Tel: 6303035380)

๐Ÿ“
Business Mailing Address (Initial Record) October 07, 2021

Registered at 750 N COMMONS DR STE 200, AURORA, IL 605047940 (Tel: 6303035380)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 07, 2021

Recorded as MARSHALL CANIZALEZ, AU.D

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2021

Audiologist-Hearing Aid Fitter

๐ŸŸข
Initial NPI Registration & Enumeration October 07, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376205278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2021
Last Update: December 29, 2022
Sole Proprietor: No

Mailing Address

847 Ne 19th Ave Ste 300

Portland, OR 972322686

Phone: 5039632801

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.