DR. ROBERT FREDERICK WAGNER D.M.D.
NPI 1164599700
Dentist - General Practice in Portland, OR

Active since November 29, 2006PECOS Enrolled
2803 NE EVERETT ST, PORTLAND, OR 97232(503) 239-5115(503) 231-6480 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Frederick Wagner D.m.d. NPPES

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

DR. ROBERT FREDERICK WAGNER D.M.D. (NPI 1164599700) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D7549) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164599700
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROBERT FREDERICK WAGNERCredential: D.M.D.
Location Address2803 NE EVERETT STPortland, OR 97232-3246
Mailing Address2803 Ne Everett StPortland, OR 97232-3246 · (503) 239-5115 · Fax (503) 231-6480
Fax(503) 231-6480
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164599700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D7549
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.
2803 NE EVERETT ST, Portland, OR 97232

Accepted Insurance

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. Robert Frederick Wagner D.m.d. 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 97232 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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

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

Dentist (General Practice)
2803 NE EVERETT ST
PORTLAND, OR 97232

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 Robert Wagner's NPI number?

The NPI number for Robert Wagner is 1164599700. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Robert Wagner located?

Robert Wagner practices at 2803 NE Everett St, Portland, OR 97232. The listed phone number is (503) 239-5115.

What is Robert Wagner's specialty?

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

Is Robert Wagner enrolled in Medicare?

Yes. Robert Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Robert Wagner accept?

Health plans from Delta Dental Plan of Oregon list Robert Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.