David Kirakossian, MD

1 location · Northwest Rheumatology Associates, PC · 6 clinicians in this group

Hospitals listed: Columbia Memorial Hospital · Hillsboro Medical Center · OHSU Hospital and Clinics · Providence Seaside Hospital · Providence St Vincent Medical Center. That is not proof they admit you there this week.

Licence A150426 · Delinquent

Licence status: Delinquent · since 2017 · expires 2023-05-31 · University of Pittsburgh School of Medicine.

License renewal fee has not been paid. No practice is permitted.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

5 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Columbia Memorial HospitalAstoria, ORCritical Access Hospital · Proprietary · Has an emergency departmentPatients rate it 4 of 5 · 81% would definitely recommend it
  No overall ratingNo measure marked better or worse than the national rate
• Hillsboro Medical CenterHillsboro, ORAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Oregon Health and Science University, which runs 2 hospitalsPatients rate it 3 of 5 · 62% would definitely recommend it
  Overall rating: 3 of 5 starsNo measure marked better or worse than the national rate
• OHSU Hospital and ClinicsPortland, ORAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of Oregon Health and Science University, which runs 2 hospitalsHome of Knight Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 3 of 5 · 76% would definitely recommend it
  Overall rating: 3 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.31 (1.1 to 1.51), Jul 2022 – Jun 2024Worse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 6.83 (5.37 to 8.29) · 3,784 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.733, Oct 2024 – Sep 2025
• Providence Seaside HospitalSeaside, ORCritical Access Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 4 of 5 · 79% would definitely recommend it
  Overall rating: 3 of 5 starsNo measure marked better or worse than the national rate
• Providence St Vincent Medical CenterPortland, ORAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 4 of 5 · 79% would definitely recommend it
  Overall rating: 4 of 5 starsBetter than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 0.76 (0.53 to 0.99), Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.151, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.346, Oct 2024 – Sep 2025

$1,079,612

Medicare paid this office $1,079,612 for 408 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

408 Original Medicare patients in 2024. Average age 73 · Under 65 8% · 85 and older 6% · Women 78% · Also on Medicaid 7% · Health risk score 1.34. At or below the middle of the specialty; the typical rheumatology clinician is at 1.38.

Conditions among them: High blood pressure 62% · Chronic kidney disease 23% · Depression 23% · Diabetes 18% · Coronary heart disease 15% · Heart failure 13% · Cancer 12% · Atrial fibrillation 12% · COPD 10% · Dementia 4% · Stroke 4%.

The office billed $3,477,351, Medicare allowed $1,369,118 and paid $1,079,612; for 66,419 services of 44 kinds; $996,363 of it was for drugs given in the office and $83,249 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

$2,986 in 2024

Medicaid paid $2,986 for 88 billed services this clinician did in 2024, up to 20 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

$1,585,863

Pharmacies billed $1,585,863 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 2% of their Part D prescriptions (34 of 2,259) in 2024. At or below the middle of the specialty; the typical rheumatology clinician is at 3%.

1,870 generic and 374 brand-name prescriptions · $1,585,863 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

$84 in 2025

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Medicare did not publish checkup rates for this clinician.

NPI

1215399308

Licence

CA A150426, OR MD209272California A150426: Delinquent · expires 2023-05-31

Trained

University of Pittsburgh School of Medicine, 2016

Group

Northwest Rheumatology Associates, PC

Video visits

Lists video visits

Gender

Male