KEVIN G SEMONSEN MD
NPI 1629010087
Radiology - Diagnostic Radiology in Portland, OR


Quality Rating: 90.17 out of 100 score

NPI Status: Active since June 11, 2006

Contact Information

1015 NW 22ND AVE
STE T240
PORTLAND, OR
ZIP 97210
Phone: (503) 413-7127
Fax: (503) 227-0218

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  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology
  • Medicare Quality Reporting

About KEVIN SEMONSEN

This page provides the complete NPI Profile along with additional information for Kevin Semonsen, a provider established in Portland, Oregon with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1629010087 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X with license number MD16798 (OR). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1629010087
Provider Name
KEVIN G SEMONSEN MD
Gender
Male
Entity Type
Individual
Location Address
1015 NW 22ND AVE STE T240 PORTLAND, OR 97210
Location Phone
(503) 413-7127
Location Fax
(503) 227-0218
Mailing Address
PO BOX 3730 #DINW103 PORTLAND, OR 97208
Mailing Phone
(800) 878-6698
Mailing Fax
(503) 227-0218
Is Sole Proprietor?
No
Enumeration Date
06-11-2006
Last Update Date
11-16-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
MD16798
License State
OR
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E96090MEDICARE UPIN (02) 
104206MEDICARE ID-TYPE UNSPECIFIED (04) 
081484MEDICAID (05)OR 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration of fluid from chest cavity using imaging guidance

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

This service was performed 16 times for 14 patients

Fluoroscopic guidance for insertion or removal of central vein access device

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

This service was performed 25 times for 22 patients

Needle biopsy of kidney

A needle biopsy of the kidney is a medical procedure where a small sample of kidney tissue is removed using a special needle. This is done to examine the tissue under a microscope for any abnormalities. It helps in diagnosing potential kidney conditions.

This service was performed 16 times for 15 patients

Review by radiologist of ct guidance for needle placement

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

This service was performed 16 times for 16 patients

Ultrasonic guidance for blood vessel access

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

This service was performed 21 times for 20 patients

Ultrasonic guidance for needle placement

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

This service was performed 18 times for 17 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.17, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 90.17 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 90.39

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 66.59

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 66.59

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629010087, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 0 + 1 + 0 + 0 + 1 + 6 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1629010087.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
1015 NW 22ND AVE, LL50
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Psychiatry & Neurology (Psychiatry)
1015 NW 22ND AVE, NORTHRUP #33
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Hospitalist
1015 NW 22ND AVE
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T-240
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1015 NW 22ND AVE, LEGACY PORTLAND HOSPITALS
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629010087, enumerated as an "individual" on June 11, 2006.

The provider is located at 1015 NW 22ND AVE STE T240 PORTLAND, OR 97210 and the phone number is (503) 413-7127.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.