Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962487231 Individual Practitioner Female Practitioner

Dr. Sandhya V Koppula , MD

Dermatology • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Sandhya Koppula, MD is a registered healthcare professional specializing in Dermatology in Beaverton, OR. Practice services are available at 17200 NW CORRIDOR COURT under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17200 Nw Corridor Court
Suite 112

Beaverton, OR 970063295

Telephone 5034396969
Fax 5034396868

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Beaverton, OR (217 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
302 52 $30.91 $5.66
99213 Established patient office or other outpatient visit, typically 15 minutes
171 104 $185.12 $73.69
17000 Destruction of skin growth
119 79 $181.48 $63.78
11102 Tangential biopsy of single skin lesion
81 64 $263.00 $99.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
61 52 $255.00 $107.31
11103 Biopsy of related skin growth, each additional growth
30 27 $113.00 $53.79

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OR MD18825

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8180424 (WA)
Medicaid State Provider ID
075544 (OR)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 03, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2010

Registered at 17200 NW CORRIDOR COURT, SUITE 112, BEAVERTON, OR 970063295 (Tel: 5034396969)

📍
Updated Business Mailing Address November 03, 2010

Registered at 17200 NW CORRIDOR COURT, SUITE 112, BEAVERTON, OR 970063295 (Tel: 5034396969)

👤
Provider Name / Credentials Updated November 03, 2010

Recorded as SANDHYA KOPPULA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2010

Dermatology (License #MD18825 in OR)

🟢
Initial NPI Registration & Enumeration December 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962487231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2005
Last Update: November 03, 2010
Sole Proprietor: Yes

Mailing Address

17200 Nw Corridor Court, Suite 112

Beaverton, OR 970063295

Phone: 5034396969

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.