SODASAVANH JOY KHAMSOUKTHAVONG
NPI 1508212283
Clinical Nurse Specialist in Portland, OR

Q: What is Sodasavanh Khamsoukthavong's NPI number?

The NPI number for Sodasavanh Khamsoukthavong is 1508212283. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Q: What is Sodasavanh Khamsoukthavong's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment

88.67/100

CMS Quality Rating

501 N GRAHAM ST STE 220, PORTLAND, OR 97227(503) 413-4710(503) 413-7148 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2018, May 11, 2016 (2 updates tracked since 2016).

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About Sodasavanh Joy Khamsoukthavong NPPES

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

SODASAVANH JOY KHAMSOUKTHAVONG (NPI 1508212283) is an individual clinical nurse specialist in Portland, Oregon, licensed in Oregon (200570006CNS) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1508212283

Entity TypeIndividualFemale

Primary Taxonomy364S00000X

Provider Legal NameSODASAVANH JOY KHAMSOUKTHAVONG

Location Address501 N GRAHAM ST STE 220Portland, OR 97227-2014

Mailing Address501 N Graham St Ste 220Portland, OR 97227-2014 · (503) 413-4710 · Fax (503) 413-7148

Phone(503) 413-4710

Fax(503) 413-7148

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 11, 2016

Last NPPES UpdateDecember 21, 20182 updates tracked since enumeration

✔ NPI 1508212283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364S00000X

License✔ Licensed in OR · 200570006CNS

Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

501 N GRAHAM ST STE 220, Portland, OR 97227

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sodasavanh Joy Khamsoukthavong 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 ID9133480239

PECOS Enrollment IDI20180307000180, I20190501002500

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 4

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.

176 services160 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

26 services24 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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 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

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

$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.

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.

88.67/100

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

Scored as part of a group practice

Quality

91.54

Promoting Interoperability

100

Improvement Activities

Cost

70.7

Other Providers at the Same Location NPPES 4

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

ALEXANDER FONG MSN, AGACNP-BC

Nurse Practitioner (Acute Care)

501 N GRAHAM ST STE 220
PORTLAND, OR 97227

Multnomah County (503) 414-6200

DR. SHANE PATRICK SMITH M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

501 N GRAHAM ST STE 220
PORTLAND, OR 97227

Multnomah County (503) 413-6200

APRIL CALLISTER PA-C

Physician Assistant

501 N GRAHAM ST STE 220
PORTLAND, OR 97227

Multnomah County (503) 413-6200

CHRISTINE LASICH AGACNP

Nurse Practitioner

501 N GRAHAM ST STE 220
PORTLAND, OR 97227

Multnomah County (503) 413-6200

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 Sodasavanh Khamsoukthavong's NPI number?

The NPI number for Sodasavanh Khamsoukthavong is 1508212283. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Sodasavanh Khamsoukthavong located?

Sodasavanh Khamsoukthavong practices at 501 N Graham St Ste 220, Portland, OR 97227. The listed phone number is (503) 413-4710.

What is Sodasavanh Khamsoukthavong's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Sodasavanh Khamsoukthavong enrolled in Medicare?

Yes. Sodasavanh Khamsoukthavong 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 Sodasavanh Khamsoukthavong accept?

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

According to CMS data, Sodasavanh Khamsoukthavong is affiliated with Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center and Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Sodasavanh Khamsoukthavong was last updated on December 21, 2018. 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.