Sean Tyler Watters, MD - Medicare General Surgery in Portland, OR

Sean Tyler Watters, MD is a medicare enrolled "Surgery" physician in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice The Oregon Clinic, Pc and his current practice location is 5050 Ne Hoyt St Ste 651, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 935-8700.

Sean Tyler Watters is licensed to practice in Oregon (license number MD187475) 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 1659714160.

Contact Information

Sean Tyler Watters, MD
5050 Ne Hoyt St Ste 651,
Portland, OR 97213
(503) 935-8700
(503) 935-8701

Map and Direction




Physician's Profile

Full NameSean Tyler Watters
GenderMale
SpecialityGeneral Surgery
Experience11 Years
Location5050 Ne Hoyt St Ste 651, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sean Tyler Watters attended and graduated from Oregon Health Sciences University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1659714160
  • Provider Enumeration Date: 04/15/2013
  • Last Update Date: 12/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749416451
  • Enrollment ID: I20180806000494

Medical Identifiers

Medical identifiers for Sean Tyler Watters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659714160NPI-NPPES
500704186MedicaidOR
2028353MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD187475 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Portland Medical CenterPortland, ORHospital
Legacy Mount Hood Medical CenterGresham, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Oregon Clinic, Pc2860390408313

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. Sean Tyler Watters allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameThe Oregon Clinic, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Sean Tyler Watters 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 AddressPractice Location Address
Sean Tyler Watters, MD
541 Ne 20th Ave Ste 225,
Portland, OR 97232-2895

Ph: (503) 963-2801
Sean Tyler Watters, MD
5050 Ne Hoyt St Ste 651,
Portland, OR 97213

Ph: (503) 935-8700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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