Brian Jacob Stater, MD in Portland, OR - Medicare Otolaryngology

Brian Jacob Stater, MD is a medicare enrolled "Otolaryngology" physician in Portland, Oregon. He went to Columbia University College Of Physicians And Surgeons and graduated in 2011 and has 14 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice The Oregon Clinic, Pc and his current practice location is 1815 Sw Marlow Ave Ste 100, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 935-8100.

Brian Jacob Stater is licensed to practice in Oregon (license number MD182454) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063702835.

Contact Information

	Brian Jacob Stater, MD
	1815 Sw Marlow Ave Ste 100, Portland, OR 97225-5185
	(503) 935-8100
	(503) 935-8110

Map and Direction

Physician's Profile

Full Name	Brian Jacob Stater
Gender	Male
Speciality	Otolaryngology
Experience	14 Years
Location	1815 Sw Marlow Ave Ste 100, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brian Jacob Stater attended and graduated from Columbia University College Of Physicians And Surgeons in 2011

NPI Data:

NPI Number: 1063702835
Provider Enumeration Date: 04/14/2011
Last Update Date: 10/13/2025

Medicare PECOS Information:

PECOS PAC ID: 6901191915
Enrollment ID: I20170616001684

Medical Identifiers

Medical identifiers for Brian Jacob Stater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063702835	NPI	-	NPPES
500725530	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	MD182454 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Oregon Clinic, Pc	2860390408	324

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Jacob Stater allows following entities to bill medicare on his behalf.

Entity Name	The Oregon Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Jacob Stater is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brian Jacob Stater, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Brian Jacob Stater, MD 1815 Sw Marlow Ave Ste 100, Portland, OR 97225-5185 Ph: (503) 935-8100

Reviews and Comments

Otolaryngology Doctors in Portland, OR

David Wei Kuo Lin, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3600 N Interstate Ave, Interstate Medical Office Central, Portland, OR 97227 Phone: 503-331-6085
Zipei Feng, MD, PHD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1815 Sw Marlow Ave Ste 100, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110
Mr. Michael Lee Mcdonald, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10101 Se Main St, # 2004, Portland, OR 97216 Phone: 503-257-3204 Fax: 503-255-7208
Dr. Duane Allen Lundeberg, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2222 Nw Lovejoy St, Suite #622, Portland, OR 97210 Phone: 503-229-8455 Fax: 503-229-7028
Dr. Edsel Uisuk Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1815 Sw Marlow Ave Ste 100, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110
James Isaac Cohen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Pv-01, Portland, OR 97239 Phone: 503-494-5355 Fax: 503-494-4631

Brian Jacob Stater, MD - Medicare Otolaryngology in Portland, OR