Active NPI 1275828436 Individual Practitioner Male Practitioner

Dr. Bryan Daniel Haughom , MD

Orthopaedic Surgery • Anchorage, AK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Haughom, MD is a certified Orthopaedic Surgery practicing in Anchorage, AK. With approximately 15 years of clinical experience since graduating from University Of California, San Francisco School Of Medicine in 2011, Dr. Haughom delivers high-quality medical care to the local community at 3801 LAKE OTIS PKWY STE 300.

Dr. Haughom maintains professional affiliations with Orthoalaska Llc, Select Physical Therapy Holdings Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3801 Lake Otis Pkwy Ste 300

Anchorage, AK 995085234

Telephone 9075622277

Fax 9075633460

Associated Practice Facility / Clinic

🏢 Orthoalaska, Llc Facility NPI 1871529990

Medicare Profile & Education

Medical School

University Of California, San Francisco School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Anchorage, AK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -9.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 20.9 Yrs

Regional Practice Density

43 Specialists

Practicing in Anchorage, AK (90 Statewide)

Telehealth Adoption Rate

30.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

86.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Haughom (15 Years) 15 Yrs

Anchorage Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,204	374	$15.00	$0.98
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,152	18	$51.00	$8.86
20610 Aspiration and/or injection of fluid from large joint	542	433	$408.86	$83.45
73564 X-ray of knee, 4 or more views	471	331	$272.96	$52.18
99213 Established patient office or other outpatient visit, typically 15 minutes	383	316	$273.00	$108.63
73502 X-ray of hip, 2-3 views	263	214	$276.78	$51.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	219	$390.00	$156.72
77002 Fluoroscopic guidance for needle placement	203	171	$779.00	$127.97
27447 Replacement of knee joint, both sides of knee	129	120	$10682.33	$1547.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$335.00	$134.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$506.00	$202.78
27130 Replacement of thigh bone and hip joint with prosthesis	100	96	$14028.80	$1550.81
20985 Computer-assisted surgery for muscle and bone procedure	68	66	$850.00	$176.89
36415 Insertion of needle into vein for collection of blood sample	52	48	$38.00	$8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	46	42	$62.00	$7.61
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	42	39	$28.00	$4.18
86140 Measurement C-reactive protein for detection of infection or inflammation	42	39	$37.00	$5.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	33	$162.32	$66.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$661.00	$167.50
73523 X-ray of both hips, minimum of 5 views	23	23	$370.00	$68.95
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	23	23	$14188.70	$2088.50
73721 Mri scan of leg joint without contrast	23	22	$2600.00	$232.62
27134 Revision of thigh bone and hip joint prosthesis	20	17	$21230.00	$2193.37
73552 X-ray of thigh bone, minimum 2 views	16	12	$212.75	$36.12
73562 X-ray of knee, 3 views	15	15	$221.76	$43.18
27486 Revision of component of total knee joint prosthesis	14	14	$9600.00	$1624.32
73700 Ct scan of leg without contrast	13	11	$1100.00	$144.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,051	267	$15.00	$1.07
20610 Aspiration and/or injection of fluid from large joint	433	354	$402.38	$83.53
99213 Established patient office or other outpatient visit, typically 15 minutes	407	320	$273.00	$111.25
73564 X-ray of knee, 4 or more views	312	232	$274.00	$53.72
73502 X-ray of hip, 2-3 views	266	208	$273.68	$52.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	207	$390.00	$158.48
73562 X-ray of knee, 3 views	176	136	$228.63	$46.10
77002 Fluoroscopic guidance for needle placement	166	141	$779.00	$134.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$335.00	$138.42
27130 Replacement of thigh bone and hip joint with prosthesis	95	92	$14132.63	$1589.72
27447 Replacement of knee joint, both sides of knee	94	91	$10905.32	$1594.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$506.00	$203.15
36415 Insertion of needle into vein for collection of blood sample	52	50	$38.00	$8.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	48	47	$62.00	$7.58
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	43	42	$28.00	$4.16
86140 Measurement C-reactive protein for detection of infection or inflammation	41	40	$37.00	$5.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	37	$661.00	$172.26
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	31	27	$14120.65	$2109.24
73523 X-ray of both hips, minimum of 5 views	30	29	$370.00	$71.94
27134 Revision of thigh bone and hip joint prosthesis	26	21	$20042.31	$2112.61
73552 X-ray of thigh bone, minimum 2 views	25	19	$218.96	$38.98
73721 Mri scan of leg joint without contrast	22	22	$2600.00	$248.05
99284 Emergency department visit with moderate level of medical decision making	18	17	$625.00	$163.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$166.00	$61.30
J1040 Injection, methylprednisolone acetate, 80 mg	14	14	$55.00	$12.13
20610 Aspiration and/or injection of fluid from large joint	14	14	$426.36	$53.15
27486 Revision of component of total knee joint prosthesis	11	11	$10210.91	$1590.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	364	281	$395.07	$84.45
J1040 Injection, methylprednisolone acetate, 80 mg	291	210	$55.00	$10.86
99213 Established patient office or other outpatient visit, typically 15 minutes	261	214	$273.24	$112.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	191	$390.00	$163.63
73502 X-ray of hip, 2-3 views	210	179	$276.00	$54.71
73564 X-ray of knee, 4 or more views	199	159	$271.53	$54.51
77002 Fluoroscopic guidance for needle placement	154	124	$779.00	$139.38
73562 X-ray of knee, 3 views	147	115	$231.00	$48.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$335.00	$142.65
27130 Replacement of thigh bone and hip joint with prosthesis	70	68	$14052.29	$1631.45
27447 Replacement of knee joint, both sides of knee	70	68	$10593.43	$1640.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$506.00	$205.94
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	47	45	$129.00	$51.28
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	37	33	$13689.73	$2200.56
27134 Revision of thigh bone and hip joint prosthesis	28	25	$20402.86	$2253.22
73721 Mri scan of leg joint without contrast	26	26	$2600.00	$258.44
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$491.00	$132.91
73552 X-ray of thigh bone, minimum 2 views	19	15	$222.74	$39.55
73523 X-ray of both hips, minimum of 5 views	16	16	$370.00	$73.88
73700 Ct scan of leg without contrast	15	14	$1100.00	$157.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$166.00	$65.25
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	11	$8562.00	$1527.23
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$9534.46	$1563.51
99283 Emergency department visit with low level of medical decision making	12	12	$405.00	$98.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	199	$245.64	$112.24
20610 Aspiration and/or injection of fluid from large joint	241	202	$391.41	$84.00
J1040 Injection, methylprednisolone acetate, 80 mg	195	150	$55.00	$10.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	165	$348.51	$164.09
73502 X-ray of hip, 2-3 views	158	134	$275.75	$53.94
73564 X-ray of knee, 4 or more views	135	108	$274.00	$54.29
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	132	119	$129.00	$50.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$327.00	$139.10
77002 Fluoroscopic guidance for needle placement	96	78	$779.00	$138.84
73562 X-ray of knee, 3 views	91	71	$229.48	$46.94
27447 Replacement of knee joint, both sides of knee	44	42	$10408.64	$1669.56
27130 Replacement of thigh bone and hip joint with prosthesis	42	41	$13765.24	$1655.74
99221 Initial hospital inpatient care per day, typically 30 minutes	34	33	$491.00	$132.84
73721 Mri scan of leg joint without contrast	34	31	$2561.76	$223.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$494.97	$216.05
73610 X-ray of ankle, minimum of 3 views	25	13	$199.52	$39.84
73030 X-ray of shoulder, minimum of 2 views	20	18	$280.00	$40.42
73552 X-ray of thigh bone, minimum 2 views	19	12	$215.47	$39.09
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	19	17	$13462.11	$2222.18
73523 X-ray of both hips, minimum of 5 views	17	17	$370.00	$73.61
27134 Revision of thigh bone and hip joint prosthesis	16	14	$19842.81	$2076.17
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	15	$8669.00	$1546.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$328.00	$97.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$153.08	$60.35
99283 Emergency department visit with low level of medical decision making	11	11	$405.00	$100.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	471	295	$317.00	$140.59
20610 Aspiration and/or injection of fluid from large joint	342	225	$399.07	$77.20
J1040 Injection, methylprednisolone acetate, 80 mg	274	187	$38.62	$11.43
73502 X-ray of hip, 2-3 views	249	164	$279.21	$53.39
73564 X-ray of knee, 4 or more views	212	163	$274.00	$51.39
73562 X-ray of knee, 3 views	128	85	$231.00	$45.85
99213 Established patient office or other outpatient visit, typically 15 minutes	124	104	$215.00	$95.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$319.00	$136.32
77002 Fluoroscopic guidance for needle placement	75	64	$779.00	$126.08
27130 Replacement of thigh bone and hip joint with prosthesis	42	40	$14026.19	$1786.25
27447 Replacement of knee joint, both sides of knee	35	35	$10272.86	$1775.59
73610 X-ray of ankle, minimum of 3 views	29	19	$215.00	$40.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$487.00	$194.84
73721 Mri scan of leg joint without contrast	28	26	$2410.71	$252.69
73560 X-ray of knee, 1-2 views	23	14	$198.76	$38.40
73030 X-ray of shoulder, minimum of 2 views	21	14	$280.00	$38.54
73630 X-ray of foot, minimum of 3 views	18	11	$211.00	$38.88
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$491.00	$138.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$427.00	$191.63
29880 Removal of both knee cartilages using an endoscope	15	15	$5934.00	$727.80
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$352.00	$57.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$135.00	$53.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	306	217	$215.00	$95.92
20610 Aspiration and/or injection of fluid from large joint	304	214	$429.33	$81.10
J1040 Injection, methylprednisolone acetate, 80 mg	259	178	$38.00	$11.99
73502 X-ray of hip, 2-3 views	229	157	$276.58	$50.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	172	$317.00	$141.08
73564 X-ray of knee, 4 or more views	173	136	$274.00	$49.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$319.00	$138.22
73562 X-ray of knee, 3 views	123	82	$231.00	$43.92
77002 Fluoroscopic guidance for needle placement	81	65	$779.00	$121.50
27447 Replacement of knee joint, both sides of knee	38	36	$10669.74	$1779.35
27130 Replacement of thigh bone and hip joint with prosthesis	31	29	$14031.45	$1792.70
73560 X-ray of knee, 1-2 views	30	13	$195.42	$36.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$487.00	$215.97
73610 X-ray of ankle, minimum of 3 views	27	19	$215.00	$38.25
73721 Mri scan of leg joint without contrast	27	14	$1348.15	$126.58
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$491.00	$138.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	14	$232.00	$54.07
73523 X-ray of both hips, minimum of 5 views	22	22	$370.00	$69.98
73552 X-ray of thigh bone, minimum 2 views	21	14	$222.33	$38.58
73030 X-ray of shoulder, minimum of 2 views	18	14	$280.00	$36.26
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less	18	15	$168.00	$36.94
73630 X-ray of foot, minimum of 3 views	17	14	$211.00	$37.32
27134 Revision of thigh bone and hip joint prosthesis	12	12	$19300.00	$2414.15
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$8451.09	$1317.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	184	140	$424.76	$80.56
99213 Established patient office or other outpatient visit, typically 15 minutes	177	126	$215.00	$92.93
J1040 Injection, methylprednisolone acetate, 80 mg	176	119	$38.00	$12.96
73564 X-ray of knee, 4 or more views	153	119	$271.49	$46.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	126	$317.00	$139.27
73502 X-ray of hip, 2-3 views	135	85	$271.29	$46.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$319.00	$135.71
77002 Fluoroscopic guidance for needle placement	53	41	$779.00	$112.26
73562 X-ray of knee, 3 views	52	38	$218.56	$39.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	15	$232.00	$53.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$487.00	$210.92
73610 X-ray of ankle, minimum of 3 views	32	23	$198.88	$34.53
27130 Replacement of thigh bone and hip joint with prosthesis	27	24	$13420.93	$1651.85
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$491.00	$136.85
73721 Mri scan of leg joint without contrast	24	12	$1300.00	$127.31
73630 X-ray of foot, minimum of 3 views	22	17	$211.00	$34.86
73523 X-ray of both hips, minimum of 5 views	20	17	$370.00	$67.14
27447 Replacement of knee joint, both sides of knee	19	18	$9770.53	$1692.90
73503 X-ray of hip with pelvis, minimum of 4 views	15	15	$320.00	$61.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$328.00	$98.92
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$7939.27	$1435.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	62	$215.00	$93.19
J1040 Injection, methylprednisolone acetate, 80 mg	67	50	$38.00	$11.85
20610 Aspiration and/or injection of fluid from large joint	62	58	$447.10	$82.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	55	$317.00	$138.14
73564 X-ray of knee, 4 or more views	55	44	$274.00	$46.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$319.00	$137.20
73503 X-ray of hip with pelvis, minimum of 4 views	34	29	$318.82	$46.29
27447 Replacement of knee joint, both sides of knee	30	30	$2108.00	$335.86
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$5571.98	$727.10
73630 X-ray of foot, minimum of 3 views	21	15	$211.00	$34.24
77002 Fluoroscopic guidance for needle placement	19	18	$779.00	$109.97
73610 X-ray of ankle, minimum of 3 views	16	11	$215.00	$37.00
77073 Imaging for bone length assessment	16	16	$235.00	$42.93
73502 X-ray of hip, 2-3 views	14	14	$280.00	$48.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$487.00	$211.99

Medical Specialties & State Licenses

CMS Verified: 2025-10-23

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AK 120834

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1668771 (AK)

Hospital & Practice Group Affiliations

Orthoalaska Llc

3801 Lake Otis Pkwy, Anchorage, AK 995085234

Phone: 9075622277

Select Physical Therapy Holdings Inc

10928 Eagle River Rd, Eagle River, AK 995778078

Phone: 9076948085

Select Physical Therapy Holdings Inc

10928 Eagle River Rd, Eagle River, AK 995778078

Phone: 9076948085

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Eva Lyons , OTD

Occupational Therapist - Hand

NPI 1003475559

Doctor of Occupational Therapy

Cynthia Smith , PC-C

Physician Assistant - Medical

NPI 1013098326

PCC

Jeffrey Hartzell , PA-C

Physician Assistant - Medical

NPI 1033479688

Physician Assistant (Certified)

Mary Perez , PA-C

Physician Assistant - Medical

NPI 1033617303

Physician Assistant (Certified)

Eva Vaaia , PA-C

Physician Assistant - Medical

NPI 1033838248

Physician Assistant (Certified)

Karrie Young , FNP-C, ANP

Nurse Practitioner - Family

NPI 1043520588

Family Nurse Practitioner (Certified), Adult Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location January 21, 2025

Registered at 3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 995085234 (Tel: 9075622277)

📍

Updated Business Mailing Address January 21, 2025

Registered at 3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 995085234 (Tel: 9075622277)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2025

Orthopaedic Surgery (License #120834 in AK)

✅

NPI Profile Active July 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2016

Registered at 600 S PAULINA ST, 527 ACFAC, CHICAGO, IL 606123806 (Tel: 3129425495)

📍

Updated Business Mailing Address July 22, 2016

Registered at 700 W VAN BUREN ST, APARTMENT 1201, CHICAGO, IL 606073617 (Tel: 5419136186)

👤

Provider Name / Credentials Updated July 22, 2016

Recorded as BRYAN HAUGHOM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2016

Orthopaedic Surgery (License #265816 in MA)

🟢

Initial NPI Registration & Enumeration June 16, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275828436

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2011

Last Update: October 23, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3801 Lake Otis Pkwy Ste 300

Anchorage, AK 995085234

Phone: 9075622277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.