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ROBERT L. KLOBUCNIK MD
NPI 1609899012
Emergency Medicine in Tualatin, OR

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
19300 SW 65TH AVE, TUALATIN, OR 97062(503) 692-7474 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Oct 5, 2023 (2 updates tracked since 2023).

About Robert L. Klobucnik Md NPPES

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

ROBERT L. KLOBUCNIK MD (NPI 1609899012) is an individual emergency medicine provider in Tualatin, Oregon, licensed in Oregon (MD22292) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Ohio (1994).

NPPES Registry Identity

NPI1609899012
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameROBERT L. KLOBUCNIKCredential: MD
Location Address19300 SW 65TH AVETualatin, OR 97062-7706
Mailing Address6312 Sw Capitol Hwy, #502Portland, OR 97239-1938 · (503) 464-9034
Phone(503) 692-7474
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1994
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1609899012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OR · MD22292
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
19300 SW 65TH AVE, Tualatin, OR 97062
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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

Robert L. Klobucnik 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 ID8921135930
PECOS Enrollment IDI20100423000066, I20200411000527
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 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
$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.

JOSHUA L FLOYD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212
LEGACY MERIDIAN PARK HOSPITAL
Hospitalist
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212
DEAN KYLE PETERSON MD
Internal Medicine
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 413-8407
RACHEL MARTINEZ IBCLC, RLC
Lactation Consultant, Non-RN
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-7509
PAUL R ASH MD, PH. D
Psychiatry & Neurology (Neurology)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 413-8407
NICOLE ROBERTS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-2452
DR. MATTHEW MICHAEL TREINEN DO
Radiology (Diagnostic Radiology)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212
DR. MARCUS PAUL CARR M.D.
Radiology (Diagnostic Radiology)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212

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 Robert Klobucnik's NPI number?

The NPI number for Robert Klobucnik is 1609899012. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Robert Klobucnik located?

Robert Klobucnik practices at 19300 SW 65th Ave, Tualatin, OR 97062. The listed phone number is (503) 692-7474.

What is Robert Klobucnik's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Klobucnik enrolled in Medicare?

Yes. Robert Klobucnik 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.

When was this NPI record last updated?

The NPPES record for Robert Klobucnik was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.