Active NPI 1609899012 Individual Practitioner Male Practitioner

Dr. Robert L. Klobucnik , MD

Emergency Medicine • Tualatin, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Klobucnik, MD is a certified Emergency Medicine practicing in Tualatin, OR. With approximately 32 years of clinical experience since graduating from Medical College Of Ohio in 1994, Dr. Klobucnik delivers high-quality medical care to the local community at 19300 SW 65TH AVE.

Dr. Klobucnik is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, x-ray of chest, 1 view. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

19300 Sw 65th Ave

Tualatin, OR 970627706

Telephone 5036927474

Associated Practice Facility / Clinic

🏢 Legacy Meridian Park Hospital Facility NPI 1689694150

Medicare Profile & Education

Medical School

Medical College Of Ohio

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Tualatin, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +11.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 18.4 Yrs

Regional Practice Density

16 Specialists

Practicing in Tualatin, OR (1105 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Klobucnik (32 Years) 32 Yrs

Tualatin Specialty Average (20.5 Years) 20.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	215	210	$878.00	$172.06
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	136	121	$39.00	$8.14
71045 X-ray of chest, 1 view	41	40	$33.00	$8.85
99284 Emergency department visit with moderate level of medical decision making	40	40	$589.00	$119.26
99291 Critical care, first 30-74 minutes	38	38	$1013.00	$211.34
93042 Interpretation and report of electrical activity of heart using 1-3 leads	17	17	$32.00	$6.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	151	149	$878.00	$174.50
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	103	99	$39.00	$8.28
99284 Emergency department visit with moderate level of medical decision making	81	79	$589.00	$121.01
99291 Critical care, first 30-74 minutes	22	22	$1013.00	$217.60
99283 Emergency department visit with low level of medical decision making	20	19	$394.00	$71.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	186	183	$878.00	$180.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	147	138	$39.00	$8.57
99284 Emergency department visit with moderate level of medical decision making	75	75	$589.00	$124.46
99291 Critical care, first 30-74 minutes	39	39	$1013.00	$224.53
99283 Emergency department visit with low level of medical decision making	25	25	$394.00	$73.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	170	166	$878.00	$175.21
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	142	133	$39.00	$8.66
99284 Emergency department visit with moderate level of medical decision making	61	59	$589.00	$118.85
99291 Critical care, first 30-74 minutes	41	41	$1013.00	$223.47
99283 Emergency department visit with low level of medical decision making	21	21	$394.00	$64.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	150	148	$878.00	$172.18
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	140	130	$39.00	$8.54
99284 Emergency department visit with moderate level of medical decision making	84	81	$589.00	$118.03
99291 Critical care, first 30-74 minutes	54	53	$1013.00	$224.06
99283 Emergency department visit with low level of medical decision making	48	45	$394.00	$62.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	141	138	$589.00	$117.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	136	130	$39.00	$8.60
99285 Emergency department visit for life threatening or functioning severity	136	134	$878.00	$172.77
99291 Critical care, first 30-74 minutes	35	35	$1013.00	$224.56
99283 Emergency department visit with low level of medical decision making	29	29	$394.00	$62.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	171	167	$878.00	$171.70
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	163	155	$39.00	$8.54
99284 Emergency department visit with moderate level of medical decision making	121	120	$591.39	$116.45
99291 Critical care, first 30-74 minutes	42	42	$1013.00	$223.58
99283 Emergency department visit with low level of medical decision making	22	22	$394.00	$61.74

Medical Specialties & State Licenses

CMS Verified: 2023-10-25

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OR MD22292

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

3550 N Interstate Ave, Portland, OR 972271196

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

14406 Ne 20th Ave, Vancouver, WA 986861448

Phone: 8008132000

Secondary Practice Locations

3550 N Interstate Ave

Portland, OR 972271196

Phone: 5036522888

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Garth Barbee , MD

Emergency Medicine

NPI 1154343119

Doctor of Medicine (M.D.)

Dr. Andrew Trickey , MD

Emergency Medicine

NPI 1255355574

Doctor of Medicine (M.D.)

Dr. James Rovang , MD

Emergency Medicine

NPI 1275557530

Doctor of Medicine (M.D.)

Dr. Michael Sidoff , MD

Emergency Medicine

NPI 1407870793

Doctor of Medicine (M.D.)

Dr. Mark Moylan , MD

Emergency Medicine

NPI 1417971763

Doctor of Medicine (M.D.)

Dr. Anthony Bilotti , MD

Emergency Medicine

NPI 1467474437

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 19300 SW 65TH AVE, TUALATIN, OR 970627706 (Tel: 5036927474)

📍

Updated Business Mailing Address July 08, 2007

Registered at 6312 SW CAPITOL HWY, #502, PORTLAND, OR 972391938 (Tel: 5034649034)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT KLOBUCNIK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #MD22292 in OR)

🟢

Initial NPI Registration & Enumeration July 26, 2006

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: 1609899012

Entity Type:

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

Enumeration Date: July 26, 2006

Last Update: October 25, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6312 Sw Capitol Hwy, #502

Portland, OR 972391938

Phone: 5034649034

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.