Kathleen Stacie Theilacker, AUD
NPI 1205348166ActiveIndividual· Audiologist· Clackamas, OR
Audiologist (AUD) with The Oregon Clinic, PC, practicing in Clackamas, Oregon. Medicare paid $4,103 for services to 115 patients in 2024.
Overview
| NPI | 1205348166 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | Nov 1, 2017 |
| Last updated in NPPES | Sep 14, 2022 |
| Certified by provider | Sep 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 31052 | OR |
| Specialist/Technologist, Speech-Language Assistant | 2355S0801X | 4382 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 115 |
|---|---|
| Services billed | 227 across 3 procedure codes |
| Paid by Medicare | $4,103 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- The Oregon Clinic, PCPortland, OR · 362 clinicians
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