CONTACT INFORMATION REVIEWS & MORE DATA:  

LEGACY MOUNT HOOD MEDICAL CENTER Ratings and Reviews

  • Date Updated:  March 20, 2025
  • National Provider Number (NPI):  3173515996
  • No. of Office Locations:  3
  • No. of Medical Professionals:  47 (includes doctors, nurses, and therapists)
  • Patient % positive review:  N/A
  • Locations:  See List

  About LEGACY MOUNT HOOD MEDICAL CENTER

LEGACY MOUNT HOOD MEDICAL CENTER is a medical group with 47 professionals providing medical services at 3 locations. They cover 12 specialties.LEGACY MOUNT HOOD MEDICAL CENTER is affiliated with 11 hospitals

Quick Links to LEGACY MOUNT HOOD MEDICAL CENTER Data & Analysis

  Ratings for LEGACY MOUNT HOOD MEDICAL CENTER

When it comes to healthcare, patients want the best possible care and experience. Figuring this out and boiling it down to a few measures, can be difficult. The information below shows our best analysis. We review all of the the data from CMS. The information below summarizes the results of the most recent annual survey of health care providers called the Consumer Assessment of Healthcare Providers and Systems or "CAHPS" as well as data used for the calculation of the Merit-Based Incentive Payment System ("MIPS"). The most recent data for both of these datasets is calendar year 2021. According to the CMS website, the 2022 survey data is being finalized but they have not indicated when it will be publicly available.

CAHPS Survey Results

There is no information about the overall patient rating for LEGACY MOUNT HOOD MEDICAL CENTER.

MIPS Measures

Measure Percent Compliance
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 29%
Anti-Depressant Medication Management 72%
Anti-Depressant Medication Management 79%
Appropriate Treatment for Upper Respiratory Infection (URI) 96%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 3%
Breast Cancer Screening 76%
Cervical Cancer Screening 56%
Chlamydia Screening for Women 54%
Chronic Care and Preventative Care Management for Empaneled Patients Yes
Clinical Data Registry Reporting Yes
Closing the Referral Loop: Receipt of Specialist Report 16%
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement Yes
Colorectal Cancer Screening 54%
Controlling High Blood Pressure 73%
Dementia: Cognitive Assessment 0%
Depression Remission at Twelve Months 0%
Diabetes: Eye Exam 57%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 17%
Diabetes: Medical Attention for Nephropathy 85%
Documentation of Current Medications in the Medical Record 84%
Falls: Screening for Future Fall Risk 52%
Functional Status Assessment for Total Knee Replacement 3%
HIV Screening 14%
Health Information Exchange(HIE) Bi-Directional Exchange Yes
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 71%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 88%
Immunization Registry Reporting Yes
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment 3%
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment 0%
ONC Direct Review Attestation Yes
Oncology: Medical and Radiation Pain Intensity Quantified 90%
Population empanelment Yes
Preventive Care and Screening: Influenza Immunization 60%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 62%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 33%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 68%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95%
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists 0%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 6%
Provide Patients Electronic Access to Their Health Information 100%
Public Health Registry Reporting Yes
Query of the Prescription Drug Monitoring Program (PDMP) Yes
Security Risk Analysis Yes
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 67%
Syndromic Surveillance Reporting Exclusion Yes
Use of High-Risk Medications in Older Adults 10%
e-Prescribing 96%

  Specializations Covered by LEGACY MOUNT HOOD MEDICAL CENTER

LEGACY MOUNT HOOD MEDICAL CENTER includes medical professionals from 12 specialties

Specialty Number
CRITICAL CARE (INTENSIVISTS) 2
NURSE PRACTITIONER 2
PEDIATRIC MEDICINE 1
PHYSICIAN ASSISTANT 4
FAMILY PRACTICE 5
INTERNAL MEDICINE 20
INTERVENTIONAL CARDIOLOGY 4
INTERVENTIONAL RADIOLOGY 6
PULMONARY DISEASE 6
DIAGNOSTIC RADIOLOGY 1
CARDIOVASCULAR DISEASE (CARDIOLOGY) 12
CARDIAC ELECTROPHYSIOLOGY 1

  LEGACY MOUNT HOOD MEDICAL CENTER Office Locations

   24800 SE STARK ST, GRESHAM, OR 97030   Map
(   503-661-9150)
NICHOLAS ABBOTT (MD)
CARDIAC ELECTROPHYSIOLOGY 		MAYANK AGRAWAL (MD)
CARDIOVASCULAR DISEASE (CARDIOLOGY)
MOSES AZUBUIKE (MD)
DIAGNOSTIC RADIOLOGY 		JAMES BORDLEY V (MD)
PULMONARY DISEASE
MATTHEW CHAMPION (MD)
PULMONARY DISEASE 		BRENDAN DALY (MD)
CARDIOVASCULAR DISEASE (CARDIOLOGY)
MARK DAY (DO)
INTERNAL MEDICINE 		AMISH DESAI (MD)
INTERVENTIONAL CARDIOLOGY
JEFFREY DROOD (MD)
CARDIOVASCULAR DISEASE (CARDIOLOGY) 		STEVEN GRUND (MD)
PULMONARY DISEASE
DANIEL HENERY (DO)
CARDIOVASCULAR DISEASE (CARDIOLOGY) 		DANIEL HILLMAN (MD)
INTERVENTIONAL RADIOLOGY
JENNIFER HINES (DO)
PULMONARY DISEASE 		DEBBIE HOANG (PA)
PHYSICIAN ASSISTANT
MICHELLE JOHN (MD)
INTERNAL MEDICINE 		OLA LAFI (MD)
CARDIOVASCULAR DISEASE (CARDIOLOGY)
SAMUEL LAU (MD)
CARDIOVASCULAR DISEASE (CARDIOLOGY) 		KENNETH LECLERC (MD)
CARDIOVASCULAR DISEASE (CARDIOLOGY)
RYAN MEEK (MD)
INTERVENTIONAL RADIOLOGY 		CAROLINE MOTIKA (MD)
PULMONARY DISEASE
JUDITH NIGRO (DO)
CARDIOVASCULAR DISEASE (CARDIOLOGY) 		ERIC PACINI (MD)
CARDIOVASCULAR DISEASE (CARDIOLOGY)
TANAY PATEL (MD)
INTERVENTIONAL RADIOLOGY 		TIMOTHY SIMPSON (MD)
INTERVENTIONAL CARDIOLOGY
DAVID STRICKLAND (PA)
PHYSICIAN ASSISTANT 		AKSHAI SUBRAMANIAN (MD)
CARDIOVASCULAR DISEASE (CARDIOLOGY)
AVNISH TRIPATHI (MD)
INTERVENTIONAL CARDIOLOGY 		KATHERINE VESTAKIS (PA)
PHYSICIAN ASSISTANT
KAREN WESENBERG (MD)
PULMONARY DISEASE 		KARLI WHITTAM (MD)
FAMILY PRACTICE
   24988 SE STARK ST, GRESHAM, OR 97030   Map
(   503-674-1580)
DANIEL ANANYEV (DO)
FAMILY PRACTICE 		JAY BROWN (MD)
INTERNAL MEDICINE
REBECCA HILLS (MD)
INTERNAL MEDICINE 		DEBBIE HOANG (PA)
PHYSICIAN ASSISTANT
KATHRYN HUYSSOON (MD)
INTERNAL MEDICINE 		MICHELLE JOHN (MD)
INTERNAL MEDICINE
GRETA MIRACLE (PA)
PHYSICIAN ASSISTANT 		SHAWDON MOLAVI (MD)
INTERVENTIONAL RADIOLOGY
CHARISE MONTE (NP)
NURSE PRACTITIONER 		ABIGAIL PARDO (NP)
NURSE PRACTITIONER
KUSUM RAI (MD)
FAMILY PRACTICE 		KELLY SCOTT (MD)
INTERNAL MEDICINE
DAVID STRICKLAND (PA)
PHYSICIAN ASSISTANT 		KAREN SWENSON (DO)
FAMILY PRACTICE
HOLLY TSE (MD)
INTERNAL MEDICINE 		CHIDUBEM UGWUEZE (MD)
INTERVENTIONAL RADIOLOGY
DANIEL URBACH (MD)
INTERNAL MEDICINE 		KATHERINE VESTAKIS (PA)
PHYSICIAN ASSISTANT
KARLI WHITTAM (MD)
FAMILY PRACTICE 		CHARLES WOOD (MD)
INTERNAL MEDICINE
ELLEN YOUNG (MD)
INTERNAL MEDICINE
   24900 SE STARK ST, GRESHAM, OR 97030   Map
(   503-674-1950)
JANET WEST (MD)
FAMILY PRACTICE

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