MR. STOTZ THODA JR. D.O.
NPI 1083021638
Family Medicine in Portland, OR

Q: What is Stotz Thoda's NPI number?

The NPI number for Stotz Thoda is 1083021638. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Q: What is Stotz Thoda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stotz Thoda was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 16, 2014PECOS Enrolled

4104 SE 82ND AVE, SUITE 250, PORTLAND, OR 97266(503) 215-9850 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2019, Jan 9, 2019 (2 updates tracked since 2019).

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About Mr. Stotz Thoda Jr. D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. STOTZ THODA JR. D.O. (NPI 1083021638) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (DO185779) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083021638

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. STOTZ THODA JR.Credential: D.O.

Location Address4104 SE 82ND AVE, SUITE 250Portland, OR 97266-2954

Mailing Address600 Sw Columbia St, Ste 6210Bend, OR 97702-1099 · (541) 323-3181

Phone(503) 215-9850

Sole ProprietorNo

Enumeration DateJuly 16, 2014

Last NPPES UpdateSeptember 19, 20192 updates tracked since enumeration

✔ NPI 1083021638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · DO185779✔ Licensed in OR · PG173375

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4104 SE 82ND AVE, Portland, OR 97266

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Stotz Thoda Jr. D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Stotz Thoda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uptown Providers Inc

3.8 mi

Urgent Care

6633 NE SANDY BLVD
Portland, OR 97213

Reassigned Medicare billing, Oregon enrollment
41 clinicians in this Medicare group

NPI 1134563620 (503) 305-6262

Mosaic Community Health

118 mi

Federally Qualified Health Center (FQHC)

375 NW BEAVER ST STE 101
Prineville, OR 97754

Reassigned Medicare billing, Oregon enrollment
102 clinicians in this Medicare group

NPI 1083633184 (541) 447-0707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97266 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

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE MARIE MCKAY D.M.D

Dentist

4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266

Multnomah County (503) 771-4324

CLAUDIA ADLER MD

Student in an Organized Health Care Education/Training Program

4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

DOUGLAS E RAY FNP

Nurse Practitioner (Family)

4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

CHARISSA E ROGERS MD

Student in an Organized Health Care Education/Training Program

4104 SE 82ND AVE, STE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

THOMAS M SCHWARTZ MD

Family Medicine

4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

MRS. CYNTHIA ANN ALLEN R.D.H.

Dental Hygienist

4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266

Multnomah County (503) 771-4324

MARIETTA H CHOE MD

Family Medicine

4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

SARAH RACHEL INSALL R.D.H.

Dental Hygienist

4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266

Multnomah County (855) 433-6825

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 Stotz Thoda's NPI number?

The NPI number for Stotz Thoda is 1083021638. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Stotz Thoda located?

Stotz Thoda practices at 4104 SE 82nd Ave Suite 250, Portland, OR 97266. The listed phone number is (503) 215-9850.

What is Stotz Thoda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stotz Thoda enrolled in Medicare?

Yes. Stotz Thoda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stotz Thoda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stotz Thoda reassigns Medicare benefits to 2 organizations: Uptown Providers Inc (Portland, OR) and Mosaic Community Health (Prineville, OR). 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 Stotz Thoda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stotz Thoda was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.