AMANDA ELLEN WAGNER MD
NPI 1235457359
Obstetrics & Gynecology in Stayton, OR

Active since May 13, 2010PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
1373 N 10TH AVE, STAYTON, OR 97383(503) 769-9522(503) 769-9530 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Ellen Wagner Md NPPES

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

AMANDA ELLEN WAGNER MD (NPI 1235457359) is an individual obstetrics & gynecology provider in Stayton, Oregon, licensed in Oregon (MD215626) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Santiam Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1235457359
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAMANDA ELLEN WAGNERCredential: MD
Location Address1373 N 10TH AVEStayton, OR 97383-2037
Mailing AddressPo Box 577Stayton, OR 97383-0577 · (503) 769-2175 · Fax (503) 769-3472
Fax(503) 769-9530
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 13, 2010
Last NPPES UpdateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
NPI 1235457359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in OR · MD215626 Licensed in KY · 43867
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1373 N 10TH AVE, Stayton, OR 97383

Other Identifiers 3

Medicaid7100131400KY
OtherP00947909KY · Rr Medicare
Medicaid500822477OR

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 and accepts Medicare assignment

Amanda Ellen Wagner 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 ID7416071402
PECOS Enrollment IDI20230919001865
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Santiam Hospital

Acute Care Hospitals · Stayton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380056
Location1401 N 10th AvenueStayton, OR 97383 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97383 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.89
Promoting Interoperability100
Improvement Activities40
Cost69.42

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Medical Specialty)
1373 N 10TH AVE
STAYTON, OR 97383
Physician Assistant
1373 N 10TH AVE
STAYTON, OR 97383
Clinic/Center (Medical Specialty)
1373 N 10TH AVE
STAYTON, OR 97383
Nurse Practitioner (Women's Health)
1373 N 10TH AVE
STAYTON, OR 97383
Clinic/Center (Primary Care)
1373 N 10TH AVE
STAYTON, OR 97383

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 Amanda Wagner's NPI number?

The NPI number for Amanda Wagner is 1235457359. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Where is Amanda Wagner located?

Amanda Wagner practices at 1373 N 10th Ave, Stayton, OR 97383. The listed phone number is (503) 769-9522.

What is Amanda Wagner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Amanda Wagner enrolled in Medicare?

Yes. Amanda Wagner 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.

What insurance does Amanda Wagner accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Amanda 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.

Is Amanda Wagner affiliated with any hospitals?

According to CMS data, Amanda Wagner is affiliated with Santiam Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Wagner was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.