INSURANCE & PAYMENT

Before booking a service (including phone consultations) you are strongly encouraged to call your insurance company to confirm your eligibility and coverage as I am unable to guarantee your care will be covered. When you book an appointment you accept full financial responsibility for any portion of the service not covered by your policy. The amount you are responsible for is charged automatically when service is rendered and these charges are not refundable. No one likes unexpected charges, so please plan ahead.

Why this must be a phone call: Speaking to a live representative is the only way to guarantee you are receiving accurate information. Just as importantly, it keeps your insurance company accountable for doing what they say they will do. Additionally, provider directories (online or printed) are often inaccurate. Your specific policy determines whether a provider is considered in network and this varies significantly across members with the same insurance carrier.

I recommend that you record every call you make to your insurance company on your own device, asking the name of the representative who takes your call, and saving the call reference number. One of many unfortunate realities in our healthcare system is that insurance companies do all they can to cut costs, sometimes in unethical ways. Keeping detailed records gives you protection when claims are denied. The following ID numbers should be referenced during your call:

  • National Provider Identifier (NPI 1): 1346858115

  • Practice NPI (NPI 2): 1568205078

  • Tax ID (EIN): 991983559

I maintain equal space in my practice for patients insured by each of my contracted payers, meaning my availability depends on whether I have openings for patients with your same insurance carrier. I do not limit the number of self-pay patients I accept.

As of September 2026 I am only accepting new patients with Blue Cross/Blue Shield of Oregon, Healthcare Management Administrators (HMA), MODA, and Pacific Source. I update this list as space becomes available, so please check again next month if your plan is not listed here.

I do not bill out-of-network insurance but am happy to provide superbills (itemized invoices) upon request. Superbills can be submitted to insurance for reimbursement after charges are paid in full.

I am not in network with Medicaid and am opted out Medicare billing which means:

  • If you have Medicaid insurance (e.g., OHP, Apple Care) you can pay for your care out of pocket, but you cannot seek out-of-network reimbursement. You will need to sign a form confirming this before I can treat you.

  • If you have Medicare insurance I am legally unable to treat you even if you want to pay out of pocket. This issue is not applicable to most patients as I only treat individuals under the age of 65.