NPIMap

Individual provider Active NPI

David Andrew Staneck, M.D.

  • Urology Physician
  • Tualatin, OR
National Provider Identifier
1730181199
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
169792 Issued in OR
Practice address
12205 SW Tualatin Rd Ste 100
Tualatin, OR 97062-7663
Phone
(503) 223-6223
Fax
(503) 223-3665
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 169792 OR Primary

Addresses

Primary practice location

12205 SW Tualatin Rd Ste 100
Tualatin, OR 97062-7663

Mailing address

12205 SW Tualatin Rd Ste 100
Tualatin, OR 97062-7663
Phone (503) 223-6223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000890 OR Practitioner - Urology 7416172192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Urology LLCGroup PAC ID 2668783770, 14 clinicians

Practice addresses (Care Compare)

2435 NE Cumulus Ave
Suite E
McMinnville, OR 97128-8805
Phone (503) 435-2561

Hospital & facility affiliations

  • Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071
  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Adventist Health Tillamook Hospital, Tillamook, OR, CCN 381317

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
89.97 of 100Reported as individual
Quality
82.85
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
169792ORMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Urological Clinic PC Current Accepting new patients
Urologic Consultants PC Urology Current Accepting new patients
Northwest Urology, LLC CurrentSince Jul 1, 2015 Accepting new patients

Locations

2435 NE Cumulus Ave
Ste E
McMinnville, OR 97128
Phone (503) 435-2561

9135 SW Barnes Rd
Ste 663
Portland, OR 97225
Phone (503) 297-1078

2230 NW Pettygrove St
Ste 210
Portland, OR 97210

12205 SW Tualatin Rd
Ste 100
Tualatin, OR 97062

Interoperability endpoints

  • Direct secure messaging: david.staneck.1@11085.direct.athenahealth.com

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1730181199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 SW TUALATIN RD STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627663",
            "telephone_number": "503-223-6223",
            "fax_number": "503-223-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 SW TUALATIN RD STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627663",
            "telephone_number": "503-223-6223",
            "fax_number": "503-223-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANECK",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "169792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.