Deactivated NPI 1417956020 Deactivated / Inactive NPI Male Practitioner

Dr. David Ming Fung Kao , MD

Specialist • Tualatin, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Kao has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 15, 2005

NPI Deactivation Date March 18, 2006

Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. David Kao, MD was a registered Specialist practicing in Tualatin, OR. Throughout an active medical career spanning 1 years, Dr. Kao provided care at the practice location at 6370 SW BORLAND RD STE 200 until profile deactivation on 2006-03-18.

Historical Medicare Part B clinical services included removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6370 Sw Borland Rd Ste 200

Tualatin, OR 970629752

Telephone 5036911122

Fax 5036911144

Associated Practice Facility / Clinic

🏢 Skin Cancer Surgery Center Facility NPI 1699943126

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tualatin, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

16 Specialists

Practicing in Tualatin, OR (1153 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.2% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	18	17	$1777.98	$671.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	34	32	$1784.83	$639.50
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	16	12	$1088.53	$410.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	291	230	$1755.48	$642.11
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	167	96	$1055.70	$422.07
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	131	108	$1261.53	$250.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	57	50	$1138.45	$265.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	35	$118.63	$45.82
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	41	32	$1647.03	$631.33
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	30	30	$1330.40	$275.57
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	16	15	$457.58	$183.03
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	15	13	$344.90	$138.04
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$2019.15	$810.45
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$2832.38	$1132.88
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	11	11	$2619.35	$1050.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	426	331	$1755.10	$611.53
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	289	171	$1044.23	$408.47
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	173	152	$1260.90	$253.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	71	$117.73	$46.52
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	75	62	$1133.98	$253.65
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	60	59	$1334.35	$254.41
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	52	43	$1643.53	$630.07
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	35	15	$571.40	$225.55
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	33	32	$2644.33	$1027.99
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	32	29	$2822.50	$1083.74
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	26	23	$463.53	$178.83
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	20	16	$347.40	$130.27
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	20	16	$997.73	$393.83
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	19	11	$208.00	$82.10
11102 Tangential biopsy of single skin lesion	18	16	$261.08	$97.33
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$2030.33	$801.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	451	368	$1692.98	$577.25
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	345	206	$1002.90	$389.40
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	184	167	$1289.72	$245.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	74	$107.46	$43.89
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	73	64	$1087.73	$240.93
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	50	50	$1330.40	$258.73
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	50	50	$2741.54	$1027.62
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	44	35	$1578.22	$585.97
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	38	32	$449.97	$177.60
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	33	33	$2563.36	$998.76
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	33	15	$572.73	$208.51
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	23	20	$322.09	$132.84
11100 Biopsy of single growth of skin and/or tissue	19	17	$273.41	$89.60
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	18	13	$938.03	$373.80
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$2017.39	$775.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	595	482	$1602.29	$683.33
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	416	249	$956.00	$447.81
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	240	205	$1382.24	$282.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	116	$99.43	$49.70
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	97	93	$1336.60	$296.76
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	96	85	$1052.17	$281.84
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	61	21	$562.35	$252.56
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	47	44	$400.98	$204.46
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	46	41	$1461.29	$704.82
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	43	42	$2435.22	$1139.81
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	43	18	$192.34	$92.05
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	42	42	$2629.19	$1234.38
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	24	19	$283.62	$152.74
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	20	16	$943.77	$365.15
11100 Biopsy of single growth of skin and/or tissue	20	19	$245.31	$101.59
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$1860.65	$890.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$246.94	$122.97

Medical Specialties & State Licenses

CMS Verified: 2022-03-30

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 23409

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

287107 (OR)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Keleigh Nersasian , PA-C

Physician Assistant - Surgical

NPI 1215193057

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location September 06, 2011

Registered at 6370 SW BORLAND RD STE 200, TUALATIN, OR 970629752 (Tel: 5036911122)

📍

Updated Business Mailing Address September 06, 2011

Registered at 6370 SW BORLAND RD STE 200, TUALATIN, OR 970629752 (Tel: 5036911122)

👤

Provider Name / Credentials Updated September 06, 2011

Recorded as DAVID KAO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2011

Specialist (License #23409 in OR)

🔄

NPI Profile Reactivated March 23, 2006

Record officially reactivated for active practice on March 23, 2006

⚠️

NPI Profile Deactivated March 18, 2006

Record deactivated on March 18, 2006

🟢

Initial NPI Registration & Enumeration July 15, 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: 1417956020

Entity Type:

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

Enumeration Date: July 15, 2005

Last Update: March 30, 2022

Deactivation Date: March 18, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6370 Sw Borland Rd Ste 200

Tualatin, OR 970629752

Phone: 5036911122

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.