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Active NPI 1366965675 Individual Practitioner Male Practitioner

Dr. Peter Stach , DPM

Podiatrist • Beaverton, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Stach, DPM is a certified Podiatrist practicing in Beaverton, OR. With approximately 9 years of clinical experience since graduating from Western Un Of Hlth Sciences, Col Of Podiatric Med in 2017, Dr. Stach delivers high-quality medical care to the local community at 4770 SW WATSON AVE.

Dr. Stach is affiliated with Bridge City Foot And Ankle Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, removal of fingernails or toenails, 1-5 nails, trimming of dystrophic nails, any number. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4770 Sw Watson Ave

Beaverton, OR 970050511

Telephone 5038054720
Fax 9712230969
Associated Practice Facility / Clinic
🏢 Bridge City Foot & Ankle Llc Facility NPI 1669074316

Medicare Profile & Education

Medical School

Western Un Of Hlth Sciences, Col Of Podiatric Med

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Beaverton, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -12.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Beaverton, OR (114 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stach (9 Years) 9 Yrs
Beaverton Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
344 195 $100.00 $46.02
11720 Removal of fingernails or toenails, 1-5 nails
321 200 $75.00 $34.18
G0127 Trimming of dystrophic nails, any number
315 191 $55.00 $15.45
11056 Removal of noncancer thickened skin growth, 2-4 growths
285 173 $185.00 $81.51
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
211 152 $180.00 $76.75
11055 Removal of single thickened skin growth
167 116 $165.00 $66.90
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
93 81 $150.00 $74.14
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes
76 76 $160.00 $77.74
17110 Destruction of up to 14 skin growths
55 36 $260.00 $118.11
11057 Removal of noncancer thickened skin growth, more than 4 growths
46 30 $210.00 $88.62
11042 Removal of skin and tissue, 20.0 sq cm or less
41 37 $300.00 $135.72
11730 Simple separation of fingernail or toenail from nail bed, first nail
32 32 $265.00 $117.18
97597 Removal of tissue from wound, 20.0 sq cm or less
32 30 $230.00 $105.08

Medical Specialties & State Licenses

CMS Verified: 2020-11-05
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OR DP198085

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500798722 (OR)

Hospital & Practice Group Affiliations

Bridge City Foot And Ankle Llc

4770 Sw Watson Ave, Beaverton, OR 970050511

Phone: 5034278967

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 27, 2022

Registered at 4770 SW WATSON AVE, BEAVERTON, OR 970050511 (Tel: 5038054720)

📍
Updated Business Mailing Address June 27, 2022

Registered at 4770 SW WATSON AVE, BEAVERTON, OR 970050511 (Tel: 5038054720)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2022

Podiatrist (License #DP198085 in OR)

NPI Profile Active July 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2017

Registered at 3601 S 6TH AVE, TUCSON, AZ 857230001 (Tel: 5207921450)

📍
Updated Business Mailing Address July 18, 2017

Registered at 1720 SW HUNTINGTON AVE, PORTLAND, OR 972254752 (Tel: 5038054720)

👤
Provider Name / Credentials Updated July 18, 2017

Recorded as PETER STACH, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2017

Assistant, Podiatric

🟢
Initial NPI Registration & Enumeration July 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366965675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2017
Last Update: June 27, 2022
Sole Proprietor: No

Mailing Address

4770 Sw Watson Ave

Beaverton, OR 970050511

Phone: 5038054720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.