BLAYNE A STANDAGE MD
NPI 1164410874
Surgery in Portland, OR

Q: What is Blayne Standage's NPI number?

The NPI number for Blayne Standage is 1164410874. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Q: What is Blayne Standage's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Blayne Standage was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 07, 2005PECOS Enrolled

86.03/100

CMS Quality Rating

1130 NW 22ND AVE, SUITE300, PORTLAND, OR 97210(503) 226-4325(503) 227-5024 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blayne A Standage Md NPPES

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

BLAYNE A STANDAGE MD (NPI 1164410874) is an individual surgery provider in Portland, Oregon, licensed in Oregon (MD12970) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164410874

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameBLAYNE A STANDAGECredential: MD

Location Address1130 NW 22ND AVE, SUITE300Portland, OR 97210-2900

Mailing Address1130 Nw 22nd Ave, Suite300Portland, OR 97210-2900 · (503) 226-4325 · Fax (503) 227-5024

Phone(503) 226-4325

Fax(503) 227-5024

Sole ProprietorNo

Enumeration DateOctober 7, 2005

Last NPPES UpdateMarch 4, 2011

✔ NPI 1164410874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OR · MD12970

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.

1130 NW 22ND AVE, Portland, OR 97210

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Other Identifiers 4

OtherMD12970State License

Medicare UPINC91993

Medicaid161513OR

Medicare ID-Type Unspecified00WCGJKCOR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blayne A Standage Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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.

86.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.8

Promoting Interoperability

Improvement Activities

Cost

74.15

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.

ERIKA K MEYER MD

Pediatrics

1130 NW 22ND AVE, STE 320
PORTLAND, OR 97210

Multnomah County (503) 295-2546

DEIDRE L BURTON MD

Pediatrics

1130 NW 22ND AVE, SUITE 320
PORTLAND, OR 97210

Multnomah County (503) 295-2546

JOY ANNE ROTHSCHILD NP

Nurse Practitioner (Women's Health)

1130 NW 22ND AVE, SUITE 520
PORTLAND, OR 97210

Multnomah County (503) 274-4800

DR. DAVID L PERRY M.D.

Internal Medicine

1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210

Multnomah County (503) 413-8988

FAYE E. SONO PT

Physical Therapist

1130 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210

Multnomah County (503) 413-3879

MS. MARY KATHRYN THOMPSON PMHNP

Nurse Practitioner

1130 NW 22ND AVE, SUITE 345
PORTLAND, OR 97210

Multnomah County (503) 413-7513

KELLY FAITH SCOTT MD

Internal Medicine

1130 NW 22ND AVE, 220
PORTLAND, OR 97210

Multnomah County (503) 413-8988

ERICH JONATHAN MEIHOFF MD

Internal Medicine

1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210

Multnomah County (503) 413-8988

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 Blayne Standage's NPI number?

The NPI number for Blayne Standage is 1164410874. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Blayne Standage located?

Blayne Standage practices at 1130 NW 22nd Ave Suite300, Portland, OR 97210. The listed phone number is (503) 226-4325.

What is Blayne Standage's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Blayne Standage enrolled in Medicare?

Yes. Blayne Standage is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blayne Standage was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.