Individual provider Active NPI

Stanley A Myers, M.D.

  • Urology Physician
  • Portland, OR
National Provider Identifier
1740288158
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD18423 Issued in OR
Practice address
2230 NW Pettygrove St
Ste 210
Portland, OR 97210-2659
Phone
(503) 223-6223
Fax
(503) 223-3665
NPI assigned
Jul 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD000034615 WA
Urology Physician 208800000X MD18423 OR Primary

Addresses

Primary practice location

2230 NW Pettygrove St
Ste 210
Portland, OR 97210-2659

Mailing address

2230 NW Pettygrove St
Ste 210
Portland, OR 97210-2659
Phone (503) 223-6223

Other identifiers 1

IdentifierTypeStateIssuer
8207136MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060731000130 WA Practitioner - Urology 0547157042 Reassigns benefits to 1 organization
I20080528000082 OR Practitioner - Urology 0547157042 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Oregon Health Sciences University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians
Northwest Urology LLCGroup PAC ID 2668783770, 14 clinicians

Practice addresses (Care Compare)

600 NW 11TH St
Suite E37
Hermiston, OR 97838-8604
Phone (541) 667-3400

9135 SW Barnes Rd
Suite 663
Portland, OR 97225-6683

Hospital & facility affiliations

  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Columbia Memorial Hospital Hospital, Astoria, OR, CCN 381320

Merit-based Incentive Payment System (MIPS)

Final score
61.29 of 100Reported as group
Quality
49.68
Improvement activities
0
Cost
79.88

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as individual
Quality
74.95
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

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
025209WAMDOphthalmology Physician
MD000034615WAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Consultants PC Urology Current Accepting new patients
Northwest Urology, LLC CurrentSince Jun 16, 2015 Accepting new patients
Good Shepherd Health Care System CurrentSince Mar 15, 2024 Accepting new patients
Centennial Medical Group Inc. Urology CurrentSince May 1, 2025 Accepting new patients
Good Shepherd Health Care System Past Accepting new patients
Legacy Salmon Creek Hospital Past Accepting new patients
Longview Urology PLLC Urology Past Accepting new patients

Locations

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

620 NW 11th St
Ste M202
Hermiston, OR 97838
Phone (541) 667-3804

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

2230 NW Pettygrove St
Ste 210
Portland, OR 97210

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

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319

100 E 33rd St
Ste 206
Vancouver, WA 98663
Phone (360) 695-1334

1000 SE Tech Center Dr
Ste 120
Vancouver, WA 98683
Phone (360) 260-2773

Interoperability endpoints

  • Direct secure messaging: stanley.a.myers.1@11085.direct.athenahealth.com
  • Direct secure messaging: smyers10466@direct.lhs.org

Organizations & group practices 7

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1740288158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGROVE ST",
            "address_2": "STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102659",
            "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": "2230 NW PETTYGROVE ST",
            "address_2": "STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102659",
            "telephone_number": "503-223-6223",
            "fax_number": "503-223-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "STANLEY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD000034615",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD18423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8207136",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.