JEFFREY PETERSON STANLEY M.D.
NPI 1083858849
Internal Medicine in San Francisco, CA

Q: What is Jeffrey Stanley's NPI number?

The NPI number for Jeffrey Stanley is 1083858849. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Q: What is Jeffrey Stanley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Stanley was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 23, 2009PECOS Enrolled

655 MONTGOMERY ST STE 810, SAN FRANCISCO, CA 94111(844) 847-8216(415) 520-9150 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jeffrey Peterson Stanley M.d. NPPES

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

JEFFREY PETERSON STANLEY M.D. (NPI 1083858849) is an individual internal medicine provider in San Francisco, California, licensed in Oregon (MD158227) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1083858849

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJEFFREY PETERSON STANLEYCredential: M.D.

Location Address655 MONTGOMERY ST STE 810San Francisco, CA 94111-2677

Mailing Address1936 Ne 38th AvePortland, OR 97212-5220 · (415) 990-4944

Phone(844) 847-8216

Fax(415) 520-9150

Sole ProprietorNo

Enumeration DateApril 23, 2009

Last NPPES UpdateDecember 19, 2023

NPPES CertifiedDecember 19, 2023

✔ NPI 1083858849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OR · MD158227

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

655 MONTGOMERY ST STE 810, San Francisco, CA 94111

Open in Google Maps ↗

Secondary Practice Location 1

Location 11936 NE 38th AvePortland, OR 97212-5220 · Phone (415) 990-4944

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community First.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Peterson Stanley M.d. 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 Reassignment

Medicare enrollment records show Jeffrey Stanley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virta Medical P.C.

Same address

Internal Medicine

655 MONTGOMERY ST STE 810
San Francisco, CA 94111

Reassigned Medicare billing, Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, North Dakota, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, West Virginia and Wyoming enrollments
Medicare enrollment name: Virta Medical PC
4 clinicians in this Medicare group

NPI 1093225138 (844) 847-8216

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 94111 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

DR. ALEXANDRA CRISTINA VILLASANTE FRICKE MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)