Active NPI 1962401208 Individual Practitioner Male Practitioner

Dr. Kenneth Marshall Oates , MD

Orthopaedic Surgery • Mount Vernon, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Oates, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Mount Vernon, WA. Practice services are available at 1401 S LAVENTURE RD under active NPI credentials.

Frequently performed procedures and clinical services include hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg, aspiration and/or injection of fluid from large joint, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1401 S Laventure Rd

Mount Vernon, WA 982746033

Telephone 3604242400

Fax 3604242418

Associated Practice Facility / Clinic

🏢 Proliance Surgeons Inc P S Facility NPI 1437105368

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Mount Vernon, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.5 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

20 Specialists

Practicing in Mount Vernon, WA (707 Statewide)

Telehealth Adoption Rate

15.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.2% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	840	15	$39.00	$20.81
20610 Aspiration and/or injection of fluid from large joint	160	95	$240.47	$73.80
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	150	59	$14.00	$6.53
99213 Established patient office or other outpatient visit, typically 15 minutes	118	102	$175.00	$90.15
73564 X-ray of knee, 4 or more views	73	66	$114.00	$47.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	68	$249.00	$127.47
73562 X-ray of knee, 3 views	51	27	$103.00	$41.62
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	46	14	$548.00	$129.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$361.00	$162.56
73030 X-ray of shoulder, minimum of 2 views	35	33	$87.00	$35.39
27447 Replacement of knee joint, both sides of knee	17	17	$5024.00	$1264.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	442	151	$14.00	$6.65
20610 Aspiration and/or injection of fluid from large joint	351	193	$233.86	$72.51
99213 Established patient office or other outpatient visit, typically 15 minutes	292	211	$175.00	$89.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	245	$249.00	$126.32
73564 X-ray of knee, 4 or more views	171	154	$113.04	$47.24
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	171	48	$548.00	$143.13
73562 X-ray of knee, 3 views	144	80	$103.00	$41.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$361.00	$165.30
73030 X-ray of shoulder, minimum of 2 views	116	85	$87.00	$35.30
27447 Replacement of knee joint, both sides of knee	48	47	$5024.00	$1273.87
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$4250.00	$1436.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	259	95	$14.00	$6.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	190	$227.81	$130.78
20610 Aspiration and/or injection of fluid from large joint	208	119	$234.97	$72.24
99213 Established patient office or other outpatient visit, typically 15 minutes	203	149	$154.51	$92.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$340.26	$167.84
73564 X-ray of knee, 4 or more views	111	96	$114.00	$47.12
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	108	28	$548.00	$137.34
73030 X-ray of shoulder, minimum of 2 views	93	84	$87.00	$35.11
73562 X-ray of knee, 3 views	70	36	$103.00	$41.34
27447 Replacement of knee joint, both sides of knee	29	29	$5023.97	$1251.09
73110 X-ray of wrist, minimum of 3 views	22	11	$92.00	$41.48
73610 X-ray of ankle, minimum of 3 views	21	11	$92.00	$36.28
23472 Prosthetic repair of shoulder joint, total shoulder	13	12	$4250.00	$1458.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	257	176	$143.00	$75.84
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	179	64	$14.00	$7.04
20610 Aspiration and/or injection of fluid from large joint	165	89	$238.91	$71.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	128	$214.00	$110.04
73562 X-ray of knee, 3 views	131	90	$90.21	$40.12
73030 X-ray of shoulder, minimum of 2 views	113	95	$86.23	$33.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$214.00	$108.23
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	74	18	$548.00	$132.89
73560 X-ray of knee, 1-2 views	55	52	$65.29	$26.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg	49	11	$3.00	$0.12
73565 X-ray of both knees while standing	29	28	$101.00	$39.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	29	11	$5.00	$1.51
27447 Replacement of knee joint, both sides of knee	26	26	$5024.00	$1354.10
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$4250.00	$1489.53
73564 X-ray of knee, 4 or more views	13	13	$110.08	$44.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	685	111	$3.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	347	241	$143.00	$74.79
73562 X-ray of knee, 3 views	236	165	$84.00	$37.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	204	$214.00	$109.19
20610 Aspiration and/or injection of fluid from large joint	208	127	$238.03	$69.01
J1030 Injection, methylprednisolone acetate, 40 mg	170	109	$12.00	$6.28
73030 X-ray of shoulder, minimum of 2 views	154	131	$87.00	$30.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$214.00	$108.53
73560 X-ray of knee, 1-2 views	139	123	$76.92	$30.36
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	86	19	$548.00	$257.48
27447 Replacement of knee joint, both sides of knee	34	32	$5024.00	$1385.12
23472 Prosthetic repair of shoulder joint, total shoulder	26	26	$4250.00	$1442.08
73110 X-ray of wrist, minimum of 3 views	22	11	$80.32	$35.74
73565 X-ray of both knees while standing	20	20	$84.20	$37.73
J1040 Injection, methylprednisolone acetate, 80 mg	11	11	$23.00	$12.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	570	110	$3.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	305	208	$141.70	$72.88
73562 X-ray of knee, 3 views	223	155	$82.89	$35.84
20610 Aspiration and/or injection of fluid from large joint	205	134	$235.58	$68.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	138	$212.23	$106.39
J1030 Injection, methylprednisolone acetate, 40 mg	145	111	$12.00	$6.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$212.06	$108.38
73560 X-ray of knee, 1-2 views	137	121	$79.80	$31.09
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	105	24	$540.94	$141.32
73030 X-ray of shoulder, minimum of 2 views	96	77	$86.16	$29.64
27447 Replacement of knee joint, both sides of knee	22	22	$4969.91	$1344.75
73565 X-ray of both knees while standing	20	20	$72.60	$36.06
73502 X-ray of hip, 2-3 views	20	17	$88.95	$35.69
23472 Prosthetic repair of shoulder joint, total shoulder	15	14	$4192.40	$1479.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$287.50	$145.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	580	94	$3.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	326	228	$138.00	$71.81
73562 X-ray of knee, 3 views	191	127	$81.00	$35.72
20610 Aspiration and/or injection of fluid from large joint	188	110	$218.19	$63.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	148	$207.00	$106.02
J1030 Injection, methylprednisolone acetate, 40 mg	151	98	$12.00	$5.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$207.00	$106.61
73030 X-ray of shoulder, minimum of 2 views	114	93	$84.00	$29.04
73560 X-ray of knee, 1-2 views	107	89	$78.00	$30.60
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	64	18	$529.00	$147.93
27447 Replacement of knee joint, both sides of knee	25	25	$4854.00	$1343.00
73565 X-ray of both knees while standing	18	18	$71.00	$35.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$83.00	$43.33
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$4106.00	$1443.10
73502 X-ray of hip, 2-3 views	13	12	$101.00	$41.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$280.00	$126.28

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD00036995

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8237729 (WA)

Commercial Insurance / Payer ID Labor And Industries

125969 (WA)

Practice Associates & Co-Workers

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

28 Associated Practitioners

Kimberly Miller , MPT

Physical Therapist

NPI 1104075621

Master of Physical Therapy

Ashli Jones , OTR, L, LMP

Occupational Therapist

NPI 1114142577

Occupational Therapist Registered, L, Licensed Massage Practitioner

Dr. Annie Brunson , PT, DPT

Physical Therapist

NPI 1114655040

Physical Therapist, Doctor of Physical Therapy

Brett Nelson , PT

Physical Therapist

NPI 1114926466

Physical Therapist

Kristen Roberts , PA-C

Physician Assistant - Surgical

NPI 1235694936

Physician Assistant (Certified)

Suzanne Dervin

Occupational Therapist - Hand

NPI 1245272632

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 30, 2013

Registered at 1401 S LAVENTURE RD, MOUNT VERNON, WA 982746033 (Tel: 3604242400)

📍

Updated Business Mailing Address December 30, 2013

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤

Provider Name / Credentials Updated December 30, 2013

Recorded as KENNETH OATES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2013

Orthopaedic Surgery (License #MD00036995 in WA)

🟢

Initial NPI Registration & Enumeration July 19, 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: 1962401208

Entity Type:

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

Enumeration Date: July 19, 2005

Last Update: December 30, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

805 Madison St, Suite 901

Seattle, WA 981041172

Phone: 2062648100

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.