NICHOLAS THOMAS WOLFGANG MD
NPI 1295187367
Family Medicine in Milwaukie, OR

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
10150 SE 32ND AVE, MILWAUKIE, OR 97222(503) 513-8641 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2021, May 2, 2018, Jul 12, 2016 (3 updates tracked since 2016).

About Nicholas Thomas Wolfgang Md NPPES

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

NICHOLAS THOMAS WOLFGANG MD (NPI 1295187367) is an individual family medicine provider in Milwaukie, Oregon, licensed in Oregon (MD205420) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Mckenzie-willamette Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1295187367
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS THOMAS WOLFGANGCredential: MD
Location Address10150 SE 32ND AVEMilwaukie, OR 97222-6516
Mailing AddressPo Box 3158Portland, OR 97208-3158
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2018
Enumeration DateJuly 12, 2016
Last NPPES UpdateApril 26, 20233 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1295187367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD205420
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.
10150 SE 32ND AVE, Milwaukie, OR 97222

Secondary Practice Location 1

Location 14104 SE 82nd Ave Ste 250Portland, OR 97266-2954 · Phone (503) 215-9850

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Thomas Wolfgang 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 ID6507112265
PECOS Enrollment IDI20210817001295
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicholas Wolfgang reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 229 clinicians in this Medicare group
Clinical Pathology
1500 DIVISION ST
Oregon City, OR 97045
  • Reassigned Medicare billing, Oregon enrollment
  • 206 clinicians in this Medicare group
Hospitalist
1500 DIVISION ST
Oregon City, OR 97045
  • Reassigned Medicare billing, Oregon enrollment
  • 98 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
97 services93 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380020
Location1460 G StreetSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97222 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
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost97.55

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Internal Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Hospitalist
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Emergency Medicine
10150 SE 32ND AVE
PORTLAND, OR 97222
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
General Acute Care Hospital
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222

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 Nicholas Wolfgang's NPI number?

The NPI number for Nicholas Wolfgang is 1295187367. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Nicholas Wolfgang located?

Nicholas Wolfgang practices at 10150 SE 32nd Ave, Milwaukie, OR 97222. The listed phone number is (503) 513-8641.

What is Nicholas Wolfgang's specialty?

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

Is Nicholas Wolfgang enrolled in Medicare?

Yes. Nicholas Wolfgang 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.

Which organizations bill Medicare for Nicholas Wolfgang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Wolfgang reassigns Medicare benefits to 3 organizations: Providence Health & Services Oregon (Milwaukie, OR), Providence Health & Services - Oregon (Oregon City, OR) and South Sound Inpatient Physicians PLLC (Oregon City, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Wolfgang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholas Wolfgang affiliated with any hospitals?

According to CMS data, Nicholas Wolfgang is affiliated with Mckenzie-Willamette Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Wolfgang was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.