1. Home
  2. Directory
  3. Oregon
  4. Redmond
  5. Family Medicine
  6. NPI Profile

ERIC J WATTENBURG MD
NPI 1194791640
Family Medicine in Redmond, OR

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
3818 SW 21ST ST, REDMOND, OR 97756(541) 548-2899(541) 504-3781 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Jan 16, 2022 (2 updates tracked since 2022).

About Eric J Wattenburg Md NPPES

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

ERIC J WATTENBURG MD (NPI 1194791640) is an individual family medicine provider in Redmond, Oregon, licensed in Oregon (MD29323) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boise, and is a graduate of University Of Nevada School Of Medicine (1999).

NPPES Registry Identity

NPI1194791640
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC J WATTENBURGCredential: MD
Location Address3818 SW 21ST STRedmond, OR 97756
Mailing AddressPo Box 4858Portland, OR 97208-4858 · (541) 500-2500 · Fax (541) 500-2700
Phone(541) 548-2899
Fax(541) 504-3781
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1999
Enumeration DateFebruary 24, 2006
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1194791640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD29323✔ Licensed in CA · A78764✔ Licensed in ID · 6761572
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD29323 (OR)
3818 SW 21ST ST, Redmond, OR 97756
Open in Google Maps ↗

Secondary Practice Location 1

Location 16051 W Emerald StBoise, ID 83704-8969 · Phone (208) 302-5150 · Fax (208) 302-5155

Other Identifiers 3

Other00887743OR · Medicare Railroad
Medicaid500608820OR
MedicaidOOA787640CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric J Wattenburg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658426663
PECOS Enrollment IDI20241202003039
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 97756 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Eric Wattenburg's NPI number?

The NPI number for Eric Wattenburg is 1194791640. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Eric Wattenburg located?

Eric Wattenburg practices at 3818 SW 21st St, Redmond, OR 97756. The listed phone number is (541) 548-2899.

What is Eric Wattenburg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Wattenburg enrolled in Medicare?

Yes. Eric Wattenburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eric Wattenburg was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.