Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376205278 Individual Practitioner Male Practitioner

Dr. Marshall Albert Canizalez , AuD

Audiologist • Gresham, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marshall Canizalez, AuD is a certified Audiologist practicing in Gresham, OR. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Canizalez delivers high-quality medical care to the local community at 24076 SE STARK ST STE 230.

Dr. Canizalez is affiliated with Kaiser Foundation Health Plan Of The Northwest 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

24076 Se Stark St Ste 230

Gresham, OR 970303385

Telephone 5034882600
Fax 5034655468

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Gresham, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs Matches City Avg
City Avg: 5.0 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Gresham, OR (329 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Canizalez (5 Years) 5 Yrs
Gresham Specialty Average (5.0 Years) 5.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92557 Comprehensive hearing and speech recognition test
84 83 $127.00 $38.21
92567 Eardrum testing using ear probe
65 62 $56.00 $17.13

Medical Specialties & State Licenses

CMS Verified: 2022-12-29
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License OR 31054

(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.

Audiologist

NUCC Taxonomy Code: 231H00000X

State License IL 147001852

(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.

Audiologist-Hearing Aid Fitter

NUCC Taxonomy Code: 237600000X

An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists".

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500813168 (OR)

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

203 Se Park Plaza Dr, Vancouver, WA 986845887

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

7101 Ne 137th Ave, Vancouver, WA 986824933

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

3600 N Interstate Ave, Portland, OR 972271106

Phone: 8008132000

Secondary Practice Locations

1111 Ne 99th Ave Ste 101

Portland, OR 972209442

Phone: 5034882626

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1114098696

Doctor of Medicine (M.D.)

Anna Lee , PA-C

Physician Assistant

NPI 1114479458

Physician Assistant (Certified)

NPI 1144398801

Doctor of Medicine (M.D.)

NPI 1194271262

Master of Public Health, MSHS, Physician Assistant (Certified)

NPI 1265407019

Doctor of Medicine (M.D.)

NPI 1326678327

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 29, 2022

Registered at 24076 SE STARK ST STE 230, GRESHAM, OR 970303385 (Tel: 5034882600)

📍
Updated Business Mailing Address December 29, 2022

Registered at 847 NE 19TH AVE STE 300, PORTLAND, OR 972322686 (Tel: 5039632801)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2022

Audiologist (License #147001852 in IL)

NPI Profile Active October 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2021

Registered at 410 N MICHIGAN AVE, CHICAGO, IL 606114213 (Tel: 6303035380)

📍
Updated Business Mailing Address October 07, 2021

Registered at 750 N COMMONS DR STE 200, AURORA, IL 605047940 (Tel: 6303035380)

👤
Provider Name / Credentials Updated October 07, 2021

Recorded as MARSHALL CANIZALEZ, AU.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2021

Audiologist-Hearing Aid Fitter

🟢
Initial NPI Registration & Enumeration October 07, 2021

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: 1376205278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2021
Last Update: December 29, 2022
Sole Proprietor: No

Mailing Address

847 Ne 19th Ave Ste 300

Portland, OR 972322686

Phone: 5039632801

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.