Active NPI
Stanley C Pense, M.D.
- General Practice Physician
- Coquille, OR
National Provider Identifier
1255304903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD175323
- Practice address
- 209 N Central Blvd
Coquille, OR 97423-1274 - Phone
- (541) 329-0144
- Fax
- (541) 824-0460
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD175323 | OR | |
| General Practice Physician | 208D00000X | MD175323 | OR | Primary |
Addresses
Primary practice location
209 N Central Blvd
Coquille, OR 97423-1274
Mailing address
PO Box 194
Coquille, OR 97423-0194
Phone (541) 329-0144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Oregon Health Sciences University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 N Central Blvd
Coquille, OR 97423-1274
Phone (541) 329-0144
Hospital & facility affiliations
- South Coast Hospice
- Bay Area Hospital
- Southern Coos Hospital & Health Center
- Coquille Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.26 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 80.85
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD175323 | OR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South West Internal Medicine LLC | General Practice | Current | Accepting new patients |
| Constance G Uribe MD PC | Surgery | Past | Accepting new patients |
| Noyes Health Care Center Inc | Past | Accepting new patients |
Locations
913 11th St SE
Ste 1
Bandon, OR 97411
Phone (541) 329-0144
900 11th St SE
Bandon, OR 97411
Phone (541) 237-2426
209 N Central Blvd
Coquille, OR 97423
Phone (541) 329-0144
Interoperability endpoints
- penses@yourcarecommunity.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Coquille, OR
- NPI 1497203194
-
- Surgery Physician
- Yuma, AZ
- NPI 1609051341
-
- Rural Health Clinic/Center
- Baggs, WY
- NPI 1184611089
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Critical Access Hospital
- Coquille, OR
- NPI 1730223967
-
- Community Based Hospice Care Agency
- Coos Bay, OR
- NPI 1417956558
-
- Critical Access Hospital
- Bandon, OR
- NPI 1588684484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1255304903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 194",
"city": "COQUILLE",
"state": "OR",
"postal_code": "974230194",
"telephone_number": "541-329-0144",
"fax_number": "541-824-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N CENTRAL BLVD",
"city": "COQUILLE",
"state": "OR",
"postal_code": "974231274",
"telephone_number": "541-329-0144",
"fax_number": "541-824-0460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENSE",
"first_name": "STANLEY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD175323",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OR",
"license": "MD175323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coquille, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.