BRIAN PATRICK KUKLOK DPM
NPI 1205321882
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is Brian Kuklok's NPI number?

The NPI number for Brian Kuklok is 1205321882. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Q: What is Brian Kuklok's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Kuklok was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 26, 2018PECOS EnrolledAccepts Medicare Assignment

86.03/100

CMS Quality Rating

1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-8401(503) 413-7361 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2019, Jun 26, 2018 (2 updates tracked since 2018).

On this page

About Brian Patrick Kuklok Dpm NPPES

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

BRIAN PATRICK KUKLOK DPM (NPI 1205321882) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1205321882

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRIAN PATRICK KUKLOKCredential: DPM

Location Address1015 NW 22ND AVEPortland, OR 97210-3025

Mailing Address1015 Nw 22nd AvePortland, OR 97210-3025 · (503) 413-8401 · Fax (503) 413-7361

Phone(503) 413-8401

Fax(503) 413-7361

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 26, 2018

Last NPPES UpdateApril 8, 20192 updates tracked since enumeration

✔ NPI 1205321882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1015 NW 22ND AVE, Portland, OR 97210

Open in Google Maps ↗

Secondary Practice Location 1

Location 13100 Telegraph AveOakland, CA 94609-3239 · Phone (800) 607-6377

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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

Brian Patrick Kuklok Dpm 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 ID8426383159

PECOS Enrollment IDI20220922001621, I20221109000279

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 6

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.

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.

107 services60 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.

65 services65 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

60 services31 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.

39 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380007

Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County

Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380025

Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County

Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380089

Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County

Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500150

Location2211 NE 139th StreetVancouver, WA 98686 · Clark County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.8

Promoting Interoperability

Improvement Activities

Cost

74.15

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.

TSYRIA SHIANN TANG DO

Internal Medicine

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7036

MARK A CRISLIP

Internal Medicine (Infectious Disease)

1015 NW 22ND AVE, R200
PORTLAND, OR 97210

Multnomah County (503) 413-8258

COLTON PATRICK BONEY DO

Student in an Organized Health Care Education/Training Program

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7711

NICKOLAS ROCKENBACK MD

Student in an Organized Health Care Education/Training Program

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7711

CAROLYN N RHETT MD

Emergency Medicine

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7260

BRIAN BATTALIA MD

Internal Medicine

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 464-9034

DR. JUDITH ANN RAY M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-8259

JENELLE LYNN STINSON PHARMD

Pharmacist

1015 NW 22ND AVE
PORTLAND, OR 97210

Multnomah County (503) 413-7008

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 Brian Kuklok's NPI number?

The NPI number for Brian Kuklok is 1205321882. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Brian Kuklok located?

Brian Kuklok practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-8401.

What is Brian Kuklok's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brian Kuklok enrolled in Medicare?

Yes. Brian Kuklok 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 Brian Kuklok accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Brian Kuklok 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.

Is Brian Kuklok affiliated with any hospitals?

According to CMS data, Brian Kuklok is affiliated with Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Mount Hood Medical Center, Legacy Meridian Park Medical Center and Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Kuklok was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.