KISHORE GOPINATHAN PATHIAL MD
NPI 1396765236
Internal Medicine - Pulmonary Disease in Mcminnville, OR

Q: What is Kishore Pathial's NPI number?

The NPI number for Kishore Pathial is 1396765236. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Kishore Pathial's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Kishore Pathial was last updated on August 21, 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.

Active since July 21, 2006PECOS Enrolled

90.27/100

CMS Quality Rating

2397 NE CUMULUS AVE, MCMINNVILLE, OR 97128(503) 472-5163 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kishore Gopinathan Pathial Md NPPES

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

KISHORE GOPINATHAN PATHIAL MD (NPI 1396765236) is an individual pulmonary disease provider in Mcminnville, Oregon, licensed in Oregon (695279-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Newberg Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1396765236

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameKISHORE GOPINATHAN PATHIALCredential: MD

Location Address2397 NE CUMULUS AVEMcminnville, OR 97128-6257

Mailing Address2397 Ne Cumulus AveMcminnville, OR 97128-6257 · (503) 472-5163

Phone(503) 472-5163

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateJuly 21, 2006

Last NPPES UpdateAugust 21, 2013

✔ NPI 1396765236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OR · 695279-1

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 695279-1 (OR)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 695279-1 (OR)

2397 NE CUMULUS AVE, Mcminnville, OR 97128

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Other Identifiers 3

Medicare UPIN13-423-1448OR

Medicaid055884OR

Medicare ID-Type Unspecified119483OR

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kishore Gopinathan Pathial Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224928395

PECOS Enrollment IDI20040712000075

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.

Medicare Billing Reassignment

Medicare enrollment records show Kishore Pathial reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kishore G. Pathial, M.D., P.C.

Same address

Pulmonary Disease

2397 NE CUMULUS AVE.
Mcminnville, OR 97128

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: Kishore G Pathial MD PC

NPI 1003008665 (503) 472-5163

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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 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.

784 services646 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

193 services164 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.

80 services80 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

76 services75 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

63 services55 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

45 services45 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.

45 services42 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

42 services42 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

41 services41 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

39 services39 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

22 services22 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.

21 services21 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380037

Location1001 Providence DriveNewberg, OR 97132 · Yamhill County

Emergency services Birthing friendly

Willamette Valley Medical Center

Acute Care Hospitals · Mcminnville, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380071

Location2700 SE Stratus Ave.Mcminnville, OR 97128 · Yamhill County

Emergency services Birthing friendly

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381302

Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County

Emergency services Birthing friendly

Adventist Health Tillamook

Critical Access Hospitals · Tillamook, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381317

Location1000 Third StreetTillamook, OR 97141 · Tillamook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97128 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

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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.

90.27/100

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

Scored as part of a group practice

Quality

92.22

Promoting Interoperability

100

Improvement Activities

Cost

66.95

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%164 patients

Closing the Referral Loop: Receipt of Specialist Report

26%155 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

1%1,704 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

55%978 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

0%370 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%370 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%3,926 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%1,337 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

8%2,662 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

19%2,210 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 815 patients

0%815 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

70%586 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,386 patients

Patients totalRate: 1% · 1,393 patients

1%1,393 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

22 suppliers772 claims772 services$32.86 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers65 claims133 services$1.32 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

8 suppliers31 claims31 services$11.11 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

22 suppliers530 claims530 services$73.25 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

22 suppliers501 claims1,395 services$27.87 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

18 suppliers300 claims1,627 services$15.80 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

12 suppliers217 claims1,222 services$12.80 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

23 suppliers559 claims559 services$48.61 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

24 suppliers671 claims671 services$15.76 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

11 suppliers61 claims61 services$9.39 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

17 suppliers243 claims243 services$11.16 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

26 suppliers1,001 claims5,521 services$1.84 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

15 suppliers119 claims119 services$5.42 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

20 suppliers426 claims426 services$10.99 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers207 claims211 services$15.21 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier29 claims35 services$42.59 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers13 claims13 services$851.40 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

10 suppliers185 claims186 services$80.71 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

3 suppliers34 claims34 services$199.19 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

10 suppliers79 claims79 services$114.38 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

7 suppliers183 claims187 services$11.05 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers144 claims144 services$3.83 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

16 suppliers691 claims694 services$32.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

12 suppliers602 claims604 services$68.97 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

8 suppliers147 claims147 services$31.83 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

5 suppliers97 claims5,760 services$4.45 avg. paid by Medicare

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims1,146 services$0.04 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

9 suppliers120 claims11,406 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers95 claims5,282 services$0.81 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

1 supplier17 claims855 services$0.16 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$35.00 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers235 claims235 services$25.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kishore Pathial's NPI number?

The NPI number for Kishore Pathial is 1396765236. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Kishore Pathial located?

Kishore Pathial practices at 2397 NE Cumulus Ave, Mcminnville, OR 97128. The listed phone number is (503) 472-5163.

What is Kishore Pathial's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kishore Pathial enrolled in Medicare?

Yes. Kishore Pathial is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kishore Pathial's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kishore Pathial reassigns Medicare benefits to Kishore G. Pathial, M.D., P.C. (Mcminnville, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kishore Pathial's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kishore Pathial accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kishore Pathial 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 Kishore Pathial affiliated with any hospitals?

According to CMS data, Kishore Pathial is affiliated with Providence Newberg Medical Center, Willamette Valley Medical Center, Samaritan North Lincoln Hospital and Adventist Health Tillamook.

When was this NPI record last updated?

The NPPES record for Kishore Pathial was last updated on August 21, 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.