BRIDGE CITY FOOT & ANKLE LLC
NPI 1669074316
Podiatrist in Beaverton, OR
About Bridge City Foot & Ankle Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGE CITY FOOT & ANKLE LLC (NPI 1669074316) is a healthcare organization registered as a podiatrist in Beaverton, Oregon and active in the NPI registry since November 2020. The organization lists Peter Stach, Owner/podiatric Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Bridge City Foot & Ankle Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Bridge City Foot & Ankle LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Bridge City Foot & Ankle LLC's NPI number?
The NPI number for Bridge City Foot & Ankle LLC is 1669074316. It was assigned to this organization in the NPPES registry on November 9, 2020.
Where is Bridge City Foot & Ankle LLC located?
Bridge City Foot & Ankle LLC is located at 4770 SW Watson Ave, Beaverton, OR 97005. The listed phone number is (503) 427-8967.
What is Bridge City Foot & Ankle LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Bridge City Foot & Ankle LLC enrolled in Medicare?
Yes. Bridge City Foot & Ankle LLC is registered in the Medicare PECOS enrollment system.
When is Bridge City Foot & Ankle LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Physician - General Practice) is due for revalidation by November 30, 2026. 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 Bridge City Foot & Ankle LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Bridge City Foot & Ankle 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bridge City Foot & Ankle LLC accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Bridge City Foot & Ankle 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 Bridge City Foot & Ankle LLC was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bridge City Foot & Ankle Llc · NPI 1669074316
Podiatrist organization in Beaverton, Oregon. Organization record, active in the CMS NPPES registry since November 9, 2020.
## Identity
- **NPI:** 1669074316 (Entity type: Organization)
- **Enumerated:** November 9, 2020
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Peter Stach, OWNER/PODIATRIC PHYSICIAN
## Practice location
- **Address:** 4770 SW WATSON AVE, Beaverton, OR 97005-0511
- **Phone:** (503) 427-8967 · **Fax:** (971) 223-0096
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Oregon, Physician - General Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669074316) · Data from the CMS NPPES public registry.