BIGGYA LOCHAN SAPKOTA MD
NPI 1306006135
Psychiatry & Neurology - Neurology in Portland, OR

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
9135 SW BARNES RD STE 461, PORTLAND, OR 97225(503) 216-1150(971) 282-0086 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 25, 2022, Jul 2, 2021, Oct 19, 2020 and 1 more (4 updates tracked since 2017).

About Biggya Lochan Sapkota Md NPPES

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

BIGGYA LOCHAN SAPKOTA MD (NPI 1306006135) is an individual neurology provider in Portland, Oregon, licensed in Oregon (MD174275) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1306006135
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameBIGGYA LOCHAN SAPKOTACredential: MD
Location Address9135 SW BARNES RD STE 461Portland, OR 97225-6643
Mailing AddressPo Box 3158Portland, OR 97208-3158
Fax(971) 282-0086
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 16, 2008
Last NPPES UpdateApril 28, 20254 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1306006135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in OR · MD174275 Licensed in MT · 46076 Licensed in WA · MD60616142 Licensed in CA · C143629 Licensed in AK · 108539
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License MD174275 (OR)
9135 SW BARNES RD STE 461, Portland, OR 97225

Other Identifiers 1

Medicaid500691454OR

Accepted 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

Biggya Lochan Sapkota Md 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 ID244405272
PECOS Enrollment IDI20151007003377
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.

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.
43 services31 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.
34 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 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.
30 services30 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
20 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
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 20

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

Psychiatry & Neurology (Neurology)
9135 SW BARNES RD STE 461
PORTLAND, OR 97225
Psychiatry & Neurology (Neurology)
9135 SW BARNES RD STE 461
PORTLAND, OR 97225
Nurse Practitioner (Acute Care)
9135 SW BARNES RD STE 461
PORTLAND, OR 97225
Nurse Practitioner (Gerontology)
9135 SW BARNES RD STE 461
PORTLAND, OR 97225
Nurse Practitioner (Gerontology)
9135 SW BARNES RD STE 461
PORTLAND, OR 97225
Psychiatry & Neurology (Neurology)
9135 SW BARNES RD STE 461
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9135 SW BARNES RD STE 461
PORTLAND, OR 97225
Psychiatry & Neurology (Neurology)
9135 SW BARNES RD STE 461
PORTLAND, OR 97225

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 Biggya Sapkota's NPI number?

The NPI number for Biggya Sapkota is 1306006135. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Biggya Sapkota located?

Biggya Sapkota practices at 9135 SW Barnes Rd Ste 461, Portland, OR 97225. The listed phone number is (503) 216-1150.

What is Biggya Sapkota's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Biggya Sapkota enrolled in Medicare?

Yes. Biggya Sapkota 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 Biggya Sapkota accept?

Health plans from Blue Cross and Blue Shield of Montana, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Biggya Sapkota 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 Biggya Sapkota affiliated with any hospitals?

According to CMS data, Biggya Sapkota is affiliated with Providence St Vincent Medical Center, Providence Portland Medical Center and Providence Seaside Hospital.

When was this NPI record last updated?

The NPPES record for Biggya Sapkota was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.