GUSTAV FISCHER MD
NPI 1255590964
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Portland, OR

Active since June 06, 2008PECOS EnrolledAccepts Medicare Assignment
90.61/100
CMS Quality Rating
5050 NE HOYT ST, SUITE 626, PORTLAND, OR 97213(503) 231-1426(503) 234-7015 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gustav Fischer Md NPPES

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

GUSTAV FISCHER MD (NPI 1255590964) is an individual adult reconstructive orthopaedic surgery provider in Portland, Oregon, licensed in Oregon (MD167189) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of University Of Nevada School Of Medicine (2008).

NPPES Registry Identity

NPI1255590964
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameGUSTAV FISCHERCredential: MD
Location Address5050 NE HOYT ST, SUITE 626Portland, OR 97213-2991
Mailing Address5050 Ne Hoyt St, Suite 626Portland, OR 97213-2991 · (503) 231-1426 · Fax (503) 234-7015
Fax(503) 234-7015
Sole ProprietorYes
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2008
Enumeration DateJune 6, 2008
Last NPPES UpdateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
NPI 1255590964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in OR · MD167189
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 6981 (KS)
5050 NE HOYT ST, Portland, OR 97213

Other Identifiers 1

Medicaid500677418OR

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

Gustav Fischer Md 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 ID9830346725
PECOS Enrollment IDI20140923000197
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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
349 services226 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
322 services84 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
249 services182 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
223 services141 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
206 services161 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
152 services152 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

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.

90.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality71.66
Promoting Interoperability100
Improvement Activities40
Cost97.07

Reported Quality Measures

Advance Care Plan
0%1,182 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
13%304 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
18%1,283 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
24%75 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
0%29 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
83%29 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%3,063 patients4/55-star benchmark: 100%
e-Prescribing
100%114 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
63%1,145 patients3/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%189 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
10%1,747 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
59%1,696 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
5%2,727 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,003 patients
0%1,003 patients
Provide Patients Electronic Access to Their Health Information
89%732 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%63 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,206 patients
Patients totalRate: 1% · 1,206 patients
1%1,206 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers12 claims12 services$40.13 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 20

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

Physical Therapist
5050 NE HOYT ST
PORTLAND, OR 97213
Family Medicine
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 97213
Internal Medicine (Pulmonary Disease)
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5050 NE HOYT ST
PORTLAND, OR 97213
Surgery (Surgical Oncology)
5050 NE HOYT ST, SUITE 610
PORTLAND, OR 97213
Urology
5050 NE HOYT ST, SUITE 514
PORTLAND, OR 97213
Surgery
5050 NE HOYT ST, STE 511
PORTLAND, OR 97213
Internal Medicine
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213

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 Gustav Fischer's NPI number?

The NPI number for Gustav Fischer is 1255590964. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Gustav Fischer located?

Gustav Fischer practices at 5050 NE Hoyt St Suite 626, Portland, OR 97213. The listed phone number is (503) 231-1426.

What is Gustav Fischer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Gustav Fischer enrolled in Medicare?

Yes. Gustav Fischer 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 Gustav Fischer accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Gustav Fischer 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 Gustav Fischer affiliated with any hospitals?

According to CMS data, Gustav Fischer is affiliated with Providence St Vincent Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Gustav Fischer was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.