Doctor profile · Federal record

Dr. Blayne Standage, MD

Surgery Physician · Portland, OR

  • NPI 1164410874
  • MIPS 85.3 / 100 · 2023
  • 21 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1130 Nw 22Nd Ave, Suite300
Portland, OR 972102900
(503) 226-4325
fax (503) 227-5024

Credentials & registration

NPPES · NUCC
NPI registered
October 2005 — 21 yrs on file
Profile last updated
March 4, 2011
Specialty taxonomy
208600000X — NUCC code
State license (1)
Oregon #MD12970
Medicaid
OR #161513

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164410874. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
18
Distinct HCPCS
1
Medicare allowed
$3,101
HCPCS Description Services Patients Avg allowed
99204 New patient office or other outpatient visit, 45-59 minutes 18 18 $172

In context: peer comparison

Among 34 peers in Portland Surgery Physician, average services per provider: 29. This provider delivers 0.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Blayne Standage's medical specialty?
Dr. Blayne Standage practices Surgery Physician in Portland, OR.
Where does Dr. Blayne Standage practice?
Dr. Blayne Standage practices at 1130 Nw 22Nd Ave, Portland, OR 972102900. Office phone: 5032264325.
What is Dr. Blayne Standage's NPI?
Dr. Blayne Standage's National Provider Identifier (NPI) is 1164410874, issued by NPPES.
What procedures does Dr. Blayne Standage commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.