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: July 19, 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 36

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
162 services158 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.
158 services141 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
101 services96 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
74 services72 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.
58 services54 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.
43 services43 patients

Hospital Affiliations CMS Care Compare 3

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

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

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 (Diagnostic Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Diagnostic Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Diagnostic Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Diagnostic Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Diagnostic Radiology)
2925 RYAN DR SE
SALEM, OR 97301
Radiology (Diagnostic Radiology)
2925 RYAN DR SE
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962453217, enumerated as an "individual" on May 12, 2006.

The provider is located at 2925 RYAN DR SE SALEM, OR 97301 and the phone number is (503) 399-1264.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Sean Stack is affiliated with: LEGACY MOUNT HOOD MEDICAL CENTER, SALEM HOSPITAL and WEST VALLEY HOSPITAL.