SEAN SCHULZ D.O.
NPI 1164866885
Family Medicine in Sandy, OR

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
36860 INDUSTRIAL WAY, SANDY, OR 97055(503) 826-0206(503) 826-0216 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sean Schulz D.o. NPPES

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

SEAN SCHULZ D.O. (NPI 1164866885) is an individual family medicine provider in Sandy, Oregon, licensed in Oregon (DO177922) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2013).

NPPES Registry Identity

NPI1164866885
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN SCHULZCredential: D.O.
Location Address36860 INDUSTRIAL WAYSandy, OR 97055-7371
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900 · Fax (503) 413-3710
Fax(503) 826-0216
Sole ProprietorYes
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2013
Enumeration DateApril 24, 2013
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
NPI 1164866885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · DO177922
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.
36860 INDUSTRIAL WAY, Sandy, OR 97055

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

Sean Schulz D.o. 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 ID4183846017
PECOS Enrollment IDI20141110001566, I20160930000345
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
48 services28 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
23 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97055 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.

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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.89
Promoting Interoperability100
Improvement Activities40
Cost48.45

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims58 services$6.87 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$34.28 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims1,080 services$0.10 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers17 claims1,020 services$0.76 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers17 claims17 services$24.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
36860 INDUSTRIAL WAY
SANDY, OR 97055
Social Worker
36860 INDUSTRIAL WAY
SANDY, OR 97055
Family Medicine
36860 INDUSTRIAL WAY
SANDY, OR 97055
Family Medicine
36860 INDUSTRIAL WAY
SANDY, OR 97055
Family Medicine
36860 INDUSTRIAL WAY
SANDY, OR 97055
Pharmacist (Ambulatory Care)
36860 INDUSTRIAL WAY
SANDY, OR 97055
Clinic/Center (Rural Health)
36860 INDUSTRIAL WAY
SANDY, OR 97055
Family Medicine
36860 INDUSTRIAL WAY
SANDY, OR 97055

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 Sean Schulz's NPI number?

The NPI number for Sean Schulz is 1164866885. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Sean Schulz located?

Sean Schulz practices at 36860 Industrial Way, Sandy, OR 97055. The listed phone number is (503) 826-0206.

What is Sean Schulz's specialty?

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

Is Sean Schulz enrolled in Medicare?

Yes. Sean Schulz 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 Sean Schulz accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Sean Schulz 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 Sean Schulz affiliated with any hospitals?

According to CMS data, Sean Schulz is affiliated with Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Schulz was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.