DR. STACEY J PORTERFIELD (DO) – Family Medicine Physician, NPI 1255300992
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
43 OSTEOPATHIC MANIPULATIVE MEDICINE in OR
Provider Addresses for DR. STACEY J PORTERFIELD (DO)
722 Laurel Ave
Butte Falls, OR 97522
Phone: (541) 842-7799
Fax: (541) 842-7798
Type: Location
1000, East Main Street, Medford, Jackson County, Oregon, 97501, United States
MEDFORD, OR 975047667
Phone: (541) 773-3863
Fax: (541) 776-2892
Type: Mailing
8385, Division Road, White City, Jackson County, Oregon, 97503, United States
WHITE CITY, OR 975031176
Phone: (541) 826-5853
Fax: (541) 826-5843
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200826003405 | I | Osteopathic Manipulative Medicine | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97522)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CO | 81002 | Urinalysis, manual test | 42 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Family Practice | OR | |
| Mental Health Counselor | OR | |
| Family Practice | OR | |
| Registered Dietitian Or Nutrition Professional | OR | |
| Nurse Practitioner | OR | |
| Family Practice | OR | |
| - | VA | |
| Mental Health Counselor | OR | |
| Clinical Social Worker | OR |
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