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KENNY PHU
NPI 1497282289
Physician Assistant in Portland, OR

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
501 N GRAHAM ST STE 580, PORTLAND, OR 97227(503) 528-0704 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 10, 2017 and 1 more (4 updates tracked since 2017).

About Kenny Phu NPPES

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

KENNY PHU (NPI 1497282289) is an individual physician assistant in Portland, Oregon and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1497282289
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNY PHU
Location Address501 N GRAHAM ST STE 580Portland, OR 97227-2003
Mailing Address501 N Graham St Ste 580Portland, OR 97227-2003 · (503) 528-0704
Phone(503) 528-0704
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1497282289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
501 N GRAHAM ST STE 580, Portland, OR 97227
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Secondary Practice Location 1

Location 13517 NE 42nd WayVancouver, WA 98661-3171 · Phone (360) 513-0469

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

Kenny Phu 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 ID6305106873
PECOS Enrollment IDI20180131002001
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 2

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier12 claims12 services$112.65 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. MEGAN ROSE LUNDEBERG M.D.
Surgery
501 N GRAHAM ST STE 580
PORTLAND, OR 97227
Multnomah County (503) 528-0704
EMMA WILLIAMS PA
Physician Assistant
501 N GRAHAM ST STE 580
PORTLAND, OR 97227
Multnomah County (503) 528-0704
MICHAEL ROTT
Physician Assistant
501 N GRAHAM ST STE 580
PORTLAND, OR 97227
Multnomah County (503) 528-0704

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 Kenny Phu's NPI number?

The NPI number for Kenny Phu is 1497282289. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Kenny Phu located?

Kenny Phu practices at 501 N Graham St Ste 580, Portland, OR 97227. The listed phone number is (503) 528-0704.

What is Kenny Phu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenny Phu enrolled in Medicare?

Yes. Kenny Phu 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.

Is Kenny Phu affiliated with any hospitals?

According to CMS data, Kenny Phu is affiliated with Legacy Emanuel Medical Center.

When was this NPI record last updated?

The NPPES record for Kenny Phu was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.