TYLER SCOTT MITTELSTAEDT MD-MPH
NPI 1053678284
Surgery in Oregon City, OR
About Tyler Scott Mittelstaedt Md-mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER SCOTT MITTELSTAEDT MD-MPH (NPI 1053678284) is an individual surgery provider in Oregon City, Oregon, licensed in Oregon (MD183147) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Skyline Hospital, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tyler Scott Mittelstaedt Md-mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Tyler Mittelstaedt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oregon City, OR 97045
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Milwaukie, OR 97222
- Reassigned Medicare billing, Oregon enrollment
- 229 clinicians in this Medicare group
White Salmon, WA 98672
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1760455687 (Washington)
- 85 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Skyline Hospital
Critical Access Hospitals · White Salmon, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OREGON CITY, OR 97045
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyler Mittelstaedt's NPI number?
The NPI number for Tyler Mittelstaedt is 1053678284. It was assigned to this individual provider in the NPPES registry on April 12, 2012.
Where is Tyler Mittelstaedt located?
Tyler Mittelstaedt practices at 1510 Division St Ste 210, Oregon City, OR 97045. The listed phone number is (503) 723-6525.
What is Tyler Mittelstaedt's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Tyler Mittelstaedt enrolled in Medicare?
Yes. Tyler Mittelstaedt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tyler Mittelstaedt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Mittelstaedt reassigns Medicare benefits to 3 organizations: Providence Health & Services - Oregon (Oregon City, OR), Providence Health & Services Oregon (Milwaukie, OR) and Public Hospital District No 2, Klickitat County Washington (White Salmon, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Mittelstaedt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Mittelstaedt accept?
Health plans from Ambetter Health and Providence Health Plan list Tyler Mittelstaedt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tyler Mittelstaedt affiliated with any hospitals?
According to CMS data, Tyler Mittelstaedt is affiliated with Skyline Hospital.
When was this NPI record last updated?
The NPPES record for Tyler Mittelstaedt was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tyler Scott Mittelstaedt, MD-MPH · NPI 1053678284
Surgery physician in Oregon City, Oregon. Individual provider, active in the CMS NPPES registry since April 12, 2012.
## Identity
- **NPI:** 1053678284 (Entity type: Individual)
- **Enumerated:** April 12, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD183147 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1510 DIVISION ST STE 210, Oregon City, OR 97045-1599
- **Phone:** (503) 723-6525
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1346533585, Oregon City, OR); Providence Health & Services Oregon (NPI 1366536963, Milwaukie, OR); Public Hospital District No 2, Klickitat County Washington (NPI 1952483653, White Salmon, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** June 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053678284) · Data from the CMS NPPES public registry.