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DR. DAVID WAGNER PHD
NPI 1356730139
Psychologist - Clinical in Portland, OR

Active since January 15, 2015PECOS EnrolledAccepts Medicare Assignment
707 SW GAINES ST, PORTLAND, OR 97239(503) 494-7899(503) 494-6868 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Wagner Phd NPPES

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

DR. DAVID WAGNER PHD (NPI 1356730139) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2558) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2013).

NPPES Registry Identity

NPI1356730139
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAVID WAGNERCredential: PHD
Location Address707 SW GAINES STPortland, OR 97239-2901
Mailing Address8002 Sw 37th AvePortland, OR 97219-3604
Phone(503) 494-7899
Fax(503) 494-6868
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2013
Enumeration DateJanuary 15, 2015
✔ NPI 1356730139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 2558
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
707 SW GAINES ST, Portland, OR 97239
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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 and accepts Medicare assignment

Dr. David Wagner Phd 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 ID6204153596
PECOS Enrollment IDI20150325002058
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 97239 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
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.

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.

MS. MARGARET WOLF
Occupational Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8095
MRS. LEAH BJORNSKOV WESSENBERG FNP
Nurse Practitioner (Family)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-7859
DR. MICHAEL AVRAM HARRIS PH.D.
Psychologist (Clinical Child & Adolescent)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8942
DANIELLE MOYER PHD
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-6337
DAVID L. OLESON PT
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (800) 452-3563
JESSICA NASON
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (860) 917-2128
UNIVERSITY PROFESSIONAL SERVICES
Clinic/Center (Multi-Specialty)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-9000
OREGON HEALTH AND SCIENCE UNIVERSITY
Clinic/Center
707 SW GAINES ST, MAILCODE: CDRC -- ATTN: JEFF REHA
PORTLAND, OR 97239
Multnomah County (503) 494-2709

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 David Wagner's NPI number?

The NPI number for David Wagner is 1356730139. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is David Wagner located?

David Wagner practices at 707 SW Gaines St, Portland, OR 97239. The listed phone number is (503) 494-7899.

What is David Wagner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Wagner enrolled in Medicare?

Yes. David 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.

When was this NPI record last updated?

The NPPES record for David Wagner was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.