MIA E SKOURTIS, MD, LLC
NPI 1215264650
Plastic Surgery in Portland, OR

Active since November 05, 2009
5050 NE HOYT ST, SUITE 515, PORTLAND, OR 97213(503) 232-3242(503) 236-7581 Get Directions Write a Review

NPPES record last updated: November 5, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mia E Skourtis, Md, Llc NPPES

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

MIA E SKOURTIS, MD, LLC (NPI 1215264650) is a healthcare organization registered as a plastic surgery in Portland, Oregon and active in the NPI registry since November 2009. The organization lists Mia E Skourtis, Md, as its authorized official.

NPPES Registry Identity

NPI1215264650
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMIA E SKOURTIS, MD, LLC
Location Address5050 NE HOYT ST, SUITE 515Portland, OR 97213-2991
Mailing Address5050 Ne Hoyt St, Suite 515Portland, OR 97213-2991 · (503) 232-3242 · Fax (503) 236-7581
Fax(503) 236-7581
Organization SubpartNo
Authorized OfficialMia E SkourtisMd · (503) 232-3242
Enumeration DateNovember 5, 2009
✔ NPI 1215264650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5050 NE HOYT ST, Portland, OR 97213

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia E Skourtis, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20100203000908Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mia E Skourtis, MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1194923789
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare1,478 mi

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

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 Mia E Skourtis, MD, LLC's NPI number?

The NPI number for Mia E Skourtis, MD, LLC is 1215264650. It was assigned to this organization in the NPPES registry on November 5, 2009.

Where is Mia E Skourtis, MD, LLC located?

Mia E Skourtis, MD, LLC is located at 5050 NE Hoyt St Suite 515, Portland, OR 97213. The listed phone number is (503) 232-3242.

What is Mia E Skourtis, MD, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Mia E Skourtis, MD, LLC enrolled in Medicare?

Yes. Mia E Skourtis, MD, LLC is registered in the Medicare PECOS enrollment system.

When is Mia E Skourtis, MD, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mia E Skourtis, MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Mia E Skourtis, MD, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mia E Skourtis, MD, LLC accept?

Health plans from Moda Health Plan, Inc. list Mia E Skourtis, MD, LLC 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.

When was this NPI record last updated?

The NPPES record for Mia E Skourtis, MD, LLC was last updated on November 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.