Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK MUTSCHLER DDS, MS
NPI 1467455360
Dentist in Portland, OR

Active since May 24, 2005Opted out of Medicare · through Apr 12, 2028
13908 SE STARK ST, STE C, PORTLAND, OR 97233(503) 254-5535 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Mark Mutschler Dds, Ms NPPES

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

DR. MARK MUTSCHLER DDS, MS (NPI 1467455360) is an individual dentist in Portland, Oregon, licensed in California (38336) and active in the NPI registry since May 2005. He has opted out of Medicare through April 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467455360
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARK MUTSCHLERCredential: DDS, MS
Location Address13908 SE STARK ST, STE CPortland, OR 97233-2161
Mailing Address13908 Se Stark St, Ste CPortland, OR 97233-2161 · (503) 254-5535
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1467455360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 38336
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License D6996 (OR)
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License D6996 (OR)
13908 SE STARK ST, Portland, OR 97233

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Mark Mutschler Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2016 through April 12, 2028.

Opt-Out Effective DateApril 12, 2016
Opt-Out In Effect ThroughApril 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97233 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 6

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

Dentist (General Practice)
13908 SE STARK ST, SUITE C
PORTLAND, OR 97233
Dentist (Endodontics)
13908 SE STARK ST, STE A
PORTLAND, OR 97233
General Acute Care Hospital (Rural)
13908 SE STARK ST, SPACE B
PORTLAND, OR 97233
Dentist (General Practice)
13908 SE STARK ST, SPACE B
PORTLAND, OR 97233
Dentist (General Practice)
13908 SE STARK ST, SUITE B
PORTLAND, OR 97233
Psychologist (Clinical)
13908 SE STARK ST
PORTLAND, OR 97233

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 Mark Mutschler's NPI number?

The NPI number for Mark Mutschler is 1467455360. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Mark Mutschler located?

Mark Mutschler practices at 13908 SE Stark St Ste C, Portland, OR 97233. The listed phone number is (503) 254-5535.

What is Mark Mutschler's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Mutschler enrolled in Medicare?

No. Mark Mutschler has opted out of Medicare through April 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark Mutschler accept?

Health plans from BridgeSpan Health Company, Delta Dental Plan of Oregon, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Mark Mutschler 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 Mark Mutschler was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.