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 this city , 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 |