Doctor profile · Federal record
Dr. Kitima Boonvisudhi
Surgery Physician (CMS: General Surgery) · Surgery Physician · Surgery Physician · Albany, OR
- NPI 1134198005
- Accepts Medicare
- 32 yrs in practice
- Licensed in 3 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
400 Hickory St Nw Ste 101
Albany, OR 973211700
(541) 812-3360 - Additional location
-
2901 W Kinnickinnic River Pkwy, Ste 311
Milwaukee, WI 532153677
(414) 385-8723 - Mailing address
-
Po Box 1189
Corvallis, OR 973391189
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- January 27, 2025
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (3)
- Oregon #MD167013 · New York #204411 · Wisconsin #59966
- Medicaid
- NY #02440095
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134198005. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,024
Distinct HCPCS
6
Medicare allowed
$56,866
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 551 | 71 | $56 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 160 | 53 | $62 | |
97597 |
Removal of tissue from wound, 20.0 sq cm or less | 115 | 33 | $34 | |
11045 |
Removal of skin and tissue, each additional 20.0 sq cm or less | 100 | 16 | $24 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 67 | 45 | $89 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $127 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 77. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$102
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $101.66 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
14
Patients
14
Total drug cost
$158
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 14 | 14 | $158 |
Frequently asked questions
What is Dr. Kitima Boonvisudhi's medical specialty?
Dr. Kitima Boonvisudhi practices Surgery Physician in Albany, OR.
Where does Dr. Kitima Boonvisudhi practice?
Dr. Kitima Boonvisudhi practices at 400 Hickory St Nw Ste 101, Albany, OR 973211700. Office phone: 5418123360.
What is Dr. Kitima Boonvisudhi's NPI?
Dr. Kitima Boonvisudhi's National Provider Identifier (NPI) is 1134198005, issued by NPPES.
Does Dr. Kitima Boonvisudhi accept Medicare assignment?
Yes. Dr. Kitima Boonvisudhi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kitima Boonvisudhi commonly perform?
Top Medicare-reported procedures in 2023: Removal of skin and tissue, 20.0 sq cm or less (HCPCS 11042); Established patient office or other outpatient visit (HCPCS 99213); Removal of tissue from wound, 20.0 sq cm or less (HCPCS 97597). Source: CMS Medicare Physician & Other Practitioners file.