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DR. NINA SOFIA UPHAM M.D.
NPI 1043483043
Family Medicine - Sports Medicine in Vancouver, WA

Active since April 10, 2008PECOS EnrolledAccepts Medicare Assignment
2525 NE 139TH ST, VANCOUVER, WA 98686(360) 882-2778 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nina Sofia Upham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NINA SOFIA UPHAM M.D. (NPI 1043483043) is an individual sports medicine provider in Vancouver, Washington, licensed in Washington (60278739) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1043483043
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameDR. NINA SOFIA UPHAMCredential: M.D.
Location Address2525 NE 139TH STVancouver, WA 98686-2719
Mailing Address700 Ne 87th AveVancouver, WA 98664-1913 · (360) 882-2778
Phone(360) 882-2778
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 10, 2008
Last NPPES UpdateJanuary 22, 2013
✔ NPI 1043483043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in WA · 60278739
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License MD60278739 (WA)
2525 NE 139TH ST, Vancouver, WA 98686
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Other Names 1

Former Name (1)Dr. Nina Sofia Karjalainen M.d.

Other Identifiers 1

Medicare PING8911232WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nina Sofia Upham M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002066602
PECOS Enrollment IDI20121016000695
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
865 services82 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
107 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services45 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
52 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON LAWRENCE CNM
Advanced Practice Midwife
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 882-2778
TORI MARIE NORMAN WHNP-BC
Nurse Practitioner (Women's Health)
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 882-2778
JOSEPH D MATHIAS
Physician Assistant
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 882-2778
ROBERT B DAVIS MD
Internal Medicine
2525 NE 139TH ST, THE VANCOUVER CLINIC
VANCOUVER, WA 98686
Clark County (360) 397-3810
MS. ADRIENNE MICHELLE HECKLER MD
Urology
2525 NE 139TH ST, SUITE 220
VANCOUVER, WA 98686
Clark County (360) 882-2778
DR. CARRIE NICOLE CARUTHERS M.D.
Allergy & Immunology
2525 NE 139TH ST, SUITE 210
VANCOUVER, WA 98686
Clark County (360) 882-2778
SONYA NICOLE STRENGE PA-C
Physician Assistant (Medical)
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 397-4000
DR. SLOANE YU M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
2525 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 882-2778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nina Upham's NPI number?

The NPI number for Nina Upham is 1043483043. It was assigned to this individual provider in the NPPES registry on April 10, 2008. The provider is also known as Dr. Nina Sofia Karjalainen M.D..

Where is Nina Upham located?

Nina Upham practices at 2525 NE 139th St, Vancouver, WA 98686. The listed phone number is (360) 882-2778.

What is Nina Upham's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Nina Upham enrolled in Medicare?

Yes. Nina Upham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nina Upham accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Nina Upham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nina Upham was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.