SEAN STACK M.D.
NPI 1962453217
Radiology - Vascular & Interventional Radiology in Salem, OR

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
83.69/100
CMS Quality Rating
2925 RYAN DR SE, SALEM, OR 97301(503) 399-1264(503) 371-0777 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sean Stack M.d. NPPES

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

SEAN STACK M.D. (NPI 1962453217) is an individual vascular & interventional radiology provider in Salem, Oregon, licensed in Oregon (MD20801) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (1994).

NPPES Registry Identity

NPI1962453217
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameSEAN STACKCredential: M.D.
Location Address2925 RYAN DR SESalem, OR 97301-9687
Mailing Address2925 Ryan Dr SeSalem, OR 97301-9687 · (503) 399-1264 · Fax (503) 371-0777
Fax(503) 371-0777
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1994
Enumeration DateMay 12, 2006
Last NPPES UpdateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
NPI 1962453217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in OR · MD20801
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 20801 (OR)
2925 RYAN DR SE, Salem, OR 97301

Other Identifiers 1

Medicaid288438OR

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

Sean Stack 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 ID2860473311
PECOS Enrollment IDI20040528001105
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 52

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,450 services14 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
163 services146 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
144 services141 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
82 services76 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
74 services74 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
72 services72 patients

Hospital Affiliations CMS Care Compare 5

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

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381302
Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County
Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

Samaritan Pacific Community Hospital

Critical Access Hospitals · Newport, OR
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381314
Location930 SW Abbey StreetNewport, OR 97365 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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.

83.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.17
Improvement Activities40
Cost65.22

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.

Radiology (Diagnostic Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Diagnostic Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Vascular & Interventional Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Physician Assistant
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Vascular & Interventional Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Diagnostic Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Pediatric Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Physician Assistant
2925 RYAN DR SE
SALEM, OR 97301

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 Sean Stack's NPI number?

The NPI number for Sean Stack is 1962453217. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Sean Stack located?

Sean Stack practices at 2925 Ryan Dr SE, Salem, OR 97301. The listed phone number is (503) 399-1264.

What is Sean Stack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Sean Stack enrolled in Medicare?

Yes. Sean Stack 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.

Is Sean Stack affiliated with any hospitals?

According to CMS data, Sean Stack is affiliated with Legacy Mount Hood Medical Center, Salem Hospital, Samaritan North Lincoln Hospital, West Valley Hospital and Samaritan Pacific Community Hospital.

When was this NPI record last updated?

The NPPES record for Sean Stack was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.