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DR. KARL NICHOLAS KALUZA D.O.
NPI 1760431175
Family Medicine - Sports Medicine in Lake Oswego, OR

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
4811 MEADOWS RD STE 101, LAKE OSWEGO, OR 97035(360) 254-6161(360) 449-1146 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2019, Feb 27, 2017 (2 updates tracked since 2017).

About Dr. Karl Nicholas Kaluza D.o. NPPES

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

DR. KARL NICHOLAS KALUZA D.O. (NPI 1760431175) is an individual sports medicine provider in Lake Oswego, Oregon, licensed in Oregon (DO23861) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1760431175
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. KARL NICHOLAS KALUZACredential: D.O.
Location Address4811 MEADOWS RD STE 101Lake Oswego, OR 97035-2542
Mailing Address200 Ne Mother Joseph Pl Ste 210Vancouver, WA 98664-3295 · (360) 254-6161 · Fax (360) 449-1146
Phone(360) 254-6161
Fax(360) 449-1146
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 10, 2006
Last NPPES UpdateMay 21, 20192 updates tracked since enumeration
✔ NPI 1760431175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in OR · DO23861
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
4811 MEADOWS RD STE 101, Lake Oswego, OR 97035
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Other Identifiers 1

OtherR196161OR · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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

Dr. Karl Nicholas Kaluza D.o. 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 ID2668433921
PECOS Enrollment IDI20080925000480
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 7

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.
146 services50 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.
72 services40 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
31 services11 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
27 services13 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
24 services15 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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 4

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

JAMES CLIVE CHESNUTT MD
Family Medicine (Sports Medicine)
4811 MEADOWS RD STE 101
LAKE OSWEGO, OR 97035
Clackamas County (360) 254-6161
KINDRA FISH PT
Physical Therapist
4811 MEADOWS RD STE 101
LAKE OSWEGO, OR 97035
Clackamas County (360) 254-6161
NORTHWEST SURGICAL SPECIALISTS PC
Durable Medical Equipment & Medical Supplies
4811 MEADOWS RD STE 101
LAKE OSWEGO, OR 97035
Clackamas County (360) 254-6161
CAROLINE ROSE EPPERSON PT, DPT
Physical Therapist
4811 MEADOWS RD STE 101
LAKE OSWEGO, OR 97035
Clackamas County (360) 254-6161

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 Karl Kaluza's NPI number?

The NPI number for Karl Kaluza is 1760431175. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Karl Kaluza located?

Karl Kaluza practices at 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035. The listed phone number is (360) 254-6161.

What is Karl Kaluza's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Karl Kaluza enrolled in Medicare?

Yes. Karl Kaluza 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 Karl Kaluza accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Karl Kaluza 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 Karl Kaluza affiliated with any hospitals?

According to CMS data, Karl Kaluza is affiliated with Ohsu Hospital And Clinics and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Karl Kaluza was last updated on May 21, 2019. 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.