TYLER SCOTT MITTELSTAEDT MD-MPH
NPI 1053678284
Surgery in Oregon City, OR

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
1510 DIVISION ST STE 210, OREGON CITY, OR 97045(503) 723-6525 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2023, Jul 21, 2022, Dec 14, 2021 and 1 more (4 updates tracked since 2017).

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 Providence Hood River Memorial Hospital, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1053678284
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTYLER SCOTT MITTELSTAEDTCredential: MD-MPH
Location Address1510 DIVISION ST STE 210Oregon City, OR 97045-1599
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2012
Enumeration DateApril 12, 2012
Last NPPES UpdateJune 9, 20234 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
NPI 1053678284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OR · MD183147
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1510 DIVISION ST STE 210, Oregon City, OR 97045

Secondary Practice Location 1

Location 19200 SE 91st Ave Ste 320Portland, OR 97086-3756 · Phone (503) 353-3005 · Fax (503) 546-3201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4486809076
PECOS Enrollment IDI20170926004089, I20220125001738
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381318
Location810 12th StreetHood River, OR 97031 · Hood River County
Emergency services Birthing friendly

Skyline Hospital

Critical Access Hospitals · White Salmon, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501315
Location211 Skyline DriveWhite Salmon, WA 98672 · Klickitat County
Emergency services

Physician 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.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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.

Surgery
1510 DIVISION ST STE 210
OREGON CITY, OR 97045
Surgery
1510 DIVISION ST STE 210
OREGON CITY, OR 97045
Surgery
1510 DIVISION ST STE 210
OREGON CITY, OR 97045
Surgery
1510 DIVISION ST STE 210
OREGON CITY, OR 97045
Internal Medicine (Gastroenterology)
1510 DIVISION ST STE 210
OREGON CITY, OR 97045
Surgery
1510 DIVISION ST STE 210
OREGON CITY, OR 97045
Surgery
1510 DIVISION ST STE 210
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.

What insurance does Tyler Mittelstaedt accept?

Health plans from Premera Blue Cross Blue Shield of Alaska 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 Providence Hood River Memorial Hospital and 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.