Doctor profile · Federal record
Dr. Kathy Bak, M.D.
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Portland, OR
- NPI 1861412884
- Accepts Medicare
- MIPS 87.8 / 100 · 2023
- 24 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12400 Nw Cornell RD Ste 100
Portland, OR 972295689
(503) 291-4000 - Mailing address
-
Po Box 3158
Portland, OR 972083158
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- October 27, 2023
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Oregon #MD164294 · California #A91888
- Medicaid
- OR #500674133
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861412884. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
143
Distinct HCPCS
7
Medicare allowed
$13,814
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 48 | 41 | $128 | |
36415 |
Insertion of needle into vein for collection of blood sample | 25 | 23 | $8 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 23 | 22 | $183 | |
90480 |
Admn sarscov2 vacc 1 dose | 12 | 12 | $42 | |
91320 |
Sarscv2 vac 30mcg trs-suc im | 12 | 12 | $128 | |
G0008 |
Administration of influenza virus vaccine | 12 | 12 | $31 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | 11 | $76 |
In context: peer comparison
Among 106 peers in Portland Family Medicine Physician, average services per provider: 47. This provider delivers 3.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,198
Patients
472
Total drug cost
$15,867
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 206 | 82 | $3,212 |
| Levothyroxine Sodium | Generic | 117 | 47 | $2,485 |
| Lisinopril | Generic | 113 | 43 | $1,301 |
| Amlodipine Besylate | Generic | 111 | 42 | $1,260 |
| Simvastatin | Generic | 87 | 31 | $1,003 |
| Losartan Potassium | Generic | 85 | 37 | $1,026 |
| Metformin Hcl | Generic | 84 | 38 | $923 |
| Lisinopril-Hydrochlorothiazide (Lisinopril/Hydrochlorothiazide) | Brand | 68 | 24 | $724 |
| Atenolol | Generic | 64 | 26 | $718 |
| Rosuvastatin Calcium | Generic | 49 | 18 | $717 |
Hospital affiliations
Frequently asked questions
What is Dr. Kathy Bak's medical specialty?
Dr. Kathy Bak practices Family Medicine Physician in Portland, OR.
Where does Dr. Kathy Bak practice?
Dr. Kathy Bak practices at 12400 Nw Cornell RD Ste 100, Portland, OR 972295689. Office phone: 5032914000.
What is Dr. Kathy Bak's NPI?
Dr. Kathy Bak's National Provider Identifier (NPI) is 1861412884, issued by NPPES.
Does Dr. Kathy Bak accept Medicare assignment?
Yes. Dr. Kathy Bak accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kathy Bak commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.