Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205348166 Individual Practitioner Female Practitioner

Dr. Kathleen Stacie Theilacker , AuD

Audiologist • Clackamas, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Theilacker, AuD is a certified Audiologist practicing in Clackamas, OR. With approximately 4 years of clinical experience since completing medical education in 2022, Dr. Theilacker delivers high-quality medical care to the local community at 9280 SE SUNNYBROOK BLVD STE 300.

Dr. Theilacker is affiliated with The Oregon Clinic, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include comprehensive hearing and speech recognition test, eardrum testing using ear probe. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9280 Se Sunnybrook Blvd Ste 300

Clackamas, OR 970159353

Telephone 5032335548
Fax 5032301009
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Clackamas, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -12.0 yrs vs City Avg
City Avg: 16.0 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Clackamas, OR (329 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Theilacker (4 Years) 4 Yrs
Clackamas Specialty Average (16.0 Years) 16.0 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
92557 Comprehensive hearing and speech recognition test
118 111 $125.00 $36.83
92567 Eardrum testing using ear probe
108 102 $50.36 $16.72

Medical Specialties & State Licenses

CMS Verified: 2022-09-14
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License OR 31052

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

State License CA 4382

Definition to come...

Hospital & Practice Group Affiliations

The Oregon Clinic, Pc

9155 Sw Barnes Rd, Portland, OR 972256634

Phone: 5032971351

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Aleen Lee , MD

Otolaryngology

NPI 1134447741

Doctor of Medicine (M.D.)

NPI 1225858236

Doctor of Audiology

NPI 1295745198

Doctor of Osteopathic Medicine (D.O.)

Dr. Hillary Lowenstein , MD

Psychiatry & Neurology - Sleep Medicine

NPI 1356548903

Doctor of Medicine (M.D.)

Dr. Valerie Ing , DO

Internal Medicine - Sleep Medicine

NPI 1356743041

Doctor of Osteopathic Medicine (D.O.)

Kathryn Leavitt

Otolaryngology

NPI 1467871277

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 09, 2022

Registered at 9280 SE SUNNYBROOK BLVD STE 300, CLACKAMAS, OR 970159353 (Tel: 5032335548)

📍
Updated Business Mailing Address September 09, 2022

Registered at 9280 SE SUNNYBROOK BLVD STE 300, CLACKAMAS, OR 970159353 (Tel: 5032335548)

👤
Provider Name / Credentials Updated September 09, 2022

Recorded as KATHLEEN THEILACKER, AUD

NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2017

Registered at 3759 RIDGE LINE DR, SAN BERNARDINO, CA 924074172 (Tel: 9096778255)

📍
Updated Business Mailing Address November 01, 2017

Registered at 3759 RIDGE LINE DR, SAN BERNARDINO, CA 924074172

👤
Provider Name / Credentials Updated November 01, 2017

Recorded as KATHLEEN KING, SLPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2017

Specialist/Technologist (License #4382 in CA)

🟢
Initial NPI Registration & Enumeration November 01, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kathleen Theilacker. Be the first to share your experience!

Sign in to leave a review for Dr. Kathleen Theilacker

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1205348166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2017
Last Update: September 14, 2022
Sole Proprietor: No

Mailing Address

9280 Se Sunnybrook Blvd Ste 300

Clackamas, OR 970159353

Phone: 5032335548

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.