PETER STACH DPM
NPI 1366965675
Podiatrist in Beaverton, OR

Active since July 18, 2017PECOS EnrolledAccepts Medicare Assignment
4770 SW WATSON AVE, BEAVERTON, OR 97005(503) 805-4720(971) 223-0969 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Stach Dpm NPPES

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

PETER STACH DPM (NPI 1366965675) is an individual podiatrist in Beaverton, Oregon, licensed in Oregon (DP198085) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2017).

NPPES Registry Identity

NPI1366965675
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NamePETER STACHCredential: DPM
Location Address4770 SW WATSON AVEBeaverton, OR 97005-0511
Mailing Address4770 Sw Watson AveBeaverton, OR 97005-0511 · (503) 805-4720 · Fax (971) 223-0969
Fax(971) 223-0969
Sole ProprietorNo
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2017
Enumeration DateJuly 18, 2017
Last NPPES UpdateJune 27, 2022
NPPES CertifiedNovember 5, 2020
NPI 1366965675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in OR · DP198085
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
4770 SW WATSON AVE, Beaverton, OR 97005

Other Identifiers 1

Medicaid500798722OR

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

Peter Stach Dpm 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 ID4486066677
PECOS Enrollment IDI20201211001597
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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
344 services195 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
321 services200 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
315 services191 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
285 services173 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
211 services152 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
167 services116 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 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.

Other Providers at the Same Location NPPES

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

Podiatrist
4770 SW WATSON AVE
BEAVERTON, OR 97005

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 Peter Stach's NPI number?

The NPI number for Peter Stach is 1366965675. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Where is Peter Stach located?

Peter Stach practices at 4770 SW Watson Ave, Beaverton, OR 97005. The listed phone number is (503) 805-4720.

What is Peter Stach's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Peter Stach enrolled in Medicare?

Yes. Peter Stach 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 Peter Stach accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Peter Stach 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 Peter Stach was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.