DR. ALICE KING MD
NPI 1194788752
Pediatrics in Clackamas, OR

Q: What is Alice King's NPI number?

The NPI number for Alice King is 1194788752. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Alice King's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: Is Alice King enrolled in Medicare?

No. Alice King has opted out of Medicare through August 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Alice King was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 06, 2006Opted out of Medicare · through Aug 12, 2027

8645 SE SUNNYBROOK BLVD # 200, CLACKAMAS, OR 97015(503) 659-1694(503) 659-8984 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 6, 2017 (2 updates tracked since 2017).

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About Dr. Alice King Md NPPES

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

DR. ALICE KING MD (NPI 1194788752) is an individual pediatrics provider in Clackamas, Oregon, licensed in Oregon (MD184900) and active in the NPI registry since April 2006. She has opted out of Medicare through August 12, 2027.

NPPES Registry Identity

NPI1194788752

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ALICE KINGCredential: MD

Location Address8645 SE SUNNYBROOK BLVD # 200Clackamas, OR 97015-6841

Mailing Address8645 Se Sunnybrook Blvd # 200Clackamas, OR 97015-6841 · (503) 659-1694 · Fax (503) 659-8984

Phone(503) 659-1694

Fax(503) 659-8984

Sole ProprietorNo

Enumeration DateApril 6, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1194788752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in OR · MD184900✔ Licensed in TX · L8768

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8645 SE SUNNYBROOK BLVD # 200, Clackamas, OR 97015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, 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

ⓘ

Opted out of Medicare

Dr. Alice King Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 12, 2021 through August 12, 2027.

Opt-Out Effective DateAugust 12, 2021

Opt-Out In Effect ThroughAugust 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 5

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

DR. STEPHANIE DAVIES HUNT TODER M.D.

Pediatrics