Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497282289 Individual Practitioner Male Practitioner

Kenny Phu

Physician Assistant • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenny Phu is a certified Physician Assistant practicing in Portland, OR. With approximately 9 years of clinical experience since completing medical education in 2017, Kenny Phu delivers high-quality medical care to the local community at 501 N GRAHAM ST STE 580.

Kenny Phu is affiliated with Legacy Clinics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501 N Graham St Ste 580

Portland, OR 972272003

Telephone 5035280704
Associated Practice Facility / Clinic
🏢 Pacific Surgical Pc Facility NPI 1396792990

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Portland, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -1.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
470 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate
23.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phu (9 Years) 9 Yrs
Portland Specialty Average (10.1 Years) 10.1 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
40 25 $317.00 $100.02
99239 Hospital discharge day management, more than 30 minutes
14 14 $305.00 $97.68

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Legacy Clinics Llc

2801 N Gantenbein Ave, Portland, OR 972271623

Phone: 5034131122

Legacy Clinics Llc

1130 Nw 22nd Ave, Portland, OR 972102969

Phone: 5034138988

Secondary Practice Locations

3517 Ne 42nd Way

Vancouver, WA 986613171

Phone: 3605130469

Practice Associates & Co-Workers

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

14 Associated Practitioners
James Deitle , PA-C

Physician Assistant

NPI 1003000753

Physician Assistant (Certified)

Amy Smith , PA

Physician Assistant - Surgical

NPI 1174583264

Physician Assistant

NPI 1245524479

Doctor of Medicine (M.D.)

NPI 1326018953

Doctor of Medicine (M.D.)

Dr. Mark Kestner , MD

Surgery - Surgical Critical Care

NPI 1407964968

Doctor of Medicine (M.D.)

NPI 1558331363

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2017

Registered at 501 N GRAHAM ST STE 580, PORTLAND, OR 972272003 (Tel: (503) 528-0704)

📍
Updated Business Mailing Address August 10, 2017

Registered at 501 N GRAHAM ST STE 580, PORTLAND, OR 972272003 (Tel: (503) 528-0704)

👤
Provider Name / Credentials Updated August 10, 2017

Recorded as KENNY PHU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2017

Physician Assistant

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 3517 NE 42ND WAY, VANCOUVER, WA 986613171 (Tel: 3605130469)

📍
Updated Business Mailing Address May 11, 2017

Registered at 3517 NE 42ND WAY, VANCOUVER, WA 986613171 (Tel: 3605130469)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as KENNY PHU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 11, 2017

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: 1497282289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

501 N Graham St Ste 580

Portland, OR 972272003

Phone: 5035280704

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.