Doctor profile · Federal record
Dr. Lazeni Koulibali, D.O.
Emergency Medicine Physician · Family Medicine Physician · Salem, OR
- NPI 1063429777
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
665 Winter St Se
Salem, OR 973013919
(503) 561-5634 - Mailing address
-
Po Box 2505
Salem, OR 973082505
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- December 19, 2007
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- Oregon #DO26795
- Medicaid (2)
- WA #8460313 · OR #006030
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063429777. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
588
Distinct HCPCS
6
Medicare allowed
$68,719
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 181 | 162 | $8 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 179 | 174 | $166 | |
99291 |
Critical care, first 30-74 minutes | 86 | 84 | $203 | |
99285 |
Emergency department visit with high level of medical decision making | 83 | 82 | $167 | |
99284 |
Emergency department visit with moderate level of medical decision making | 47 | 47 | $115 | |
99238 |
Hospital discharge day management, 30 minutes or less | 12 | 12 | $77 |
In context: peer comparison
Among 9 peers in Salem Emergency Medicine Physician, average services per provider: 84. This provider delivers 7.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
180
Patients
179
Total drug cost
$1,110
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Naproxen | Generic | 34 | 34 | $123 |
| Cephalexin | Generic | 33 | 33 | $216 |
| Oxycodone Hcl | Generic | 33 | 33 | $168 |
| Ondansetron Odt (Ondansetron) | Brand | 31 | 30 | $260 |
| Prednisone | Generic | 22 | 22 | $64 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 14 | 14 | $66 |
| Doxycycline Monohydrate | Generic | 13 | 13 | $213 |
Frequently asked questions
What is Dr. Lazeni Koulibali's medical specialty?
Dr. Lazeni Koulibali practices Emergency Medicine Physician in Salem, OR.
Where does Dr. Lazeni Koulibali practice?
Dr. Lazeni Koulibali practices at 665 Winter St Se, Salem, OR 973013919. Office phone: 5035615634.
What is Dr. Lazeni Koulibali's NPI?
Dr. Lazeni Koulibali's National Provider Identifier (NPI) is 1063429777, issued by NPPES.
What procedures does Dr. Lazeni Koulibali commonly perform?
Top Medicare-reported procedures in 2023: Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Initial hospital care with moderate level of medical decision making (HCPCS 99223); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.