DR. STEPHEN JOHN MANNINO M.D.
NPI 1679553218
Dermatology in Tigard, OR

Q: What is Stephen Mannino's NPI number?

The NPI number for Stephen Mannino is 1679553218. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Stephen Mannino's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Mannino was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment

10215 SW HALL BLVD, TIGARD, OR 97223(503) 245-2415(503) 244-5963 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2025, Nov 17, 2020 (2 updates tracked since 2020).

On this page

About Dr. Stephen John Mannino M.d. NPPES

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

DR. STEPHEN JOHN MANNINO M.D. (NPI 1679553218) is an individual dermatology provider in Tigard, Oregon, licensed in Oregon (MD157027) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Lake Oswego.

NPPES Registry Identity

NPI1679553218

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. STEPHEN JOHN MANNINOCredential: M.D.

Location Address10215 SW HALL BLVDTigard, OR 97223-8809

Mailing Address10215 Sw Hall BlvdTigard, OR 97223-8809 · (503) 245-2415 · Fax (503) 244-5963

Phone(503) 245-2415

Fax(503) 244-5963

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2003

Enumeration DateJanuary 19, 2006

Last NPPES UpdateJune 27, 20252 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1679553218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in OR · MD157027

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

10215 SW HALL BLVD, Tigard, OR 97223

Open in Google Maps ↗

Secondary Practice Location 1

Location 14004 Kruse Way Pl Ste 220Lake Oswego, OR 97035-2449 · Phone (503) 245-2415 · Fax (503) 244-5963

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.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

Dr. Stephen John Mannino M.d. 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 ID648426247

PECOS Enrollment IDI20120815000192

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 7

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

344 services94 patients

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.

286 services241 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

160 services133 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

54 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

46 services46 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

38 services37 patients

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380009

Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 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.

Leave this field empty

Other Providers at the Same Location NPPES 11

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

SOPHIA SANGAR

Dermatology