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DR. MATTHEW H WALLENGREN DDS, PA
NPI 1154400877
Dentist - General Practice in Baltimore, MD

Active since November 03, 2006PECOS Enrolled
1421 CLARKVIEW RD STE 120, BALTIMORE, MD 21209(410) 431-1868 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew H Wallengren Dds, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW H WALLENGREN DDS, PA (NPI 1154400877) is an individual general practice provider in Baltimore, Maryland, licensed in Maryland (12462) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154400877
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW H WALLENGRENCredential: DDS, PA
Location Address1421 CLARKVIEW RD STE 120Baltimore, MD 21209-2187
Mailing Address1421 Clarkview Rd Ste 120Baltimore, MD 21209-2187 · (410) 431-1868
Phone(410) 431-1868
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1154400877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 12462
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1421 CLARKVIEW RD STE 120, Baltimore, MD 21209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew H Wallengren Dds, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL CHRISTINE BROWN RDH
Dental Hygienist
1421 CLARKVIEW RD STE 120
BALTIMORE, MD 21209
Baltimore County (410) 435-1234
MR. RUSSELL DE OCAMPO
Dental Hygienist
1421 CLARKVIEW RD STE 120
BALTIMORE, MD 21209
Baltimore County (410) 236-5515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Wallengren's NPI number?

The NPI number for Matthew Wallengren is 1154400877. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Matthew Wallengren located?

Matthew Wallengren practices at 1421 Clarkview Rd Ste 120, Baltimore, MD 21209. The listed phone number is (410) 431-1868.

What is Matthew Wallengren's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Matthew Wallengren enrolled in Medicare?

Yes. Matthew Wallengren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Wallengren was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.