Doctor profile · Federal record
Dr. Phillip Kiyasu, MD
Gastroenterology Physician · Gastroenterology Physician · Portland, OR
- NPI 1124010673
- 21 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1111 Ne 99Th Ave, Suite 301
Portland, OR 972209428
(503) 963-2707
fax (503) 963-2802 - Additional location
-
9300 Se 91St Ave Ste 300
Clackamas, OR 970863762 - Mailing address
-
541 Ne 20Th Ave Ste 225
Portland, OR 972322895
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- November 4, 2024
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (2)
- Oregon #MD18844 · Washington #MD60293921
- Medicaid (2)
- OR #065607 · WA #8206922
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124010673. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,485
Distinct HCPCS
9
Medicare allowed
$122,272
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3380 |
Injection, vedolizumab, 1 mg | 4,203 | 12 | $22 | |
88305 |
Pathology examination of tissue using a microscope, intermediate complexity | 82 | 63 | $37 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 42 | 35 | $130 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 36 | 36 | $157 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 36 | 33 | $92 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 25 | 24 | $250 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $169 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 20 | 19 | $113 | |
96365 |
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 18 | 14 | $68 |
In context: peer comparison
Among 45 peers in Portland Gastroenterology Physician, average services per provider: 59. This provider delivers 76× the peer median.Open Payments
Industry payments received
All-time total
$35
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 1 | $35.32 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
326
Patients
165
Total drug cost
$30,099
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 138 | 135 | $2,734 |
| Pantoprazole Sodium | Generic | 35 | 0 | $799 |
| Mesalamine | Generic | 22 | 0 | $17,115 |
| Omeprazole | Generic | 17 | 0 | $358 |
| Gavilyte-C (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 16 | 15 | $346 |
| Peg-3350 and Electrolytes (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 15 | 15 | $281 |
| Dicyclomine Hcl | Generic | 14 | 0 | $280 |
| Ursodiol | Generic | 13 | 0 | $1,511 |
| Lansoprazole | Generic | 12 | 0 | $150 |
| Budesonide Dr (Budesonide) | Brand | 11 | 0 | $1,893 |
Frequently asked questions
What is Dr. Phillip Kiyasu's medical specialty?
Dr. Phillip Kiyasu practices Gastroenterology Physician in Portland, OR.
Where does Dr. Phillip Kiyasu practice?
Dr. Phillip Kiyasu practices at 1111 Ne 99Th Ave, Portland, OR 972209428. Office phone: 5039632707.
What is Dr. Phillip Kiyasu's NPI?
Dr. Phillip Kiyasu's National Provider Identifier (NPI) is 1124010673, issued by NPPES.
What procedures does Dr. Phillip Kiyasu commonly perform?
Top Medicare-reported procedures in 2023: Injection, vedolizumab, 1 mg (HCPCS J3380); Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.