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W. WALLACE WEBSTER MD LLC
NPI 1407470214
Otolaryngology - Facial Plastic Surgery in Coos Bay, OR

Active since June 08, 2020
620 COMMERCIAL AVE STE A, COOS BAY, OR 97420(541) 297-5342(541) 808-0415 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About W. Wallace Webster Md Llc NPPES

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

W. WALLACE WEBSTER MD LLC (NPI 1407470214) is a healthcare organization registered as a facial plastic surgery in Coos Bay, Oregon and active in the NPI registry since June 2020. The organization lists William Wallace Webster, Owner, as its authorized official.

NPPES Registry Identity

NPI1407470214
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameW. WALLACE WEBSTER MD LLC
Location Address620 COMMERCIAL AVE STE ACoos Bay, OR 97420-1846
Mailing Address620 Commercial Ave Ste ACoos Bay, OR 97420-1846 · (541) 297-5342 · Fax (541) 808-0415
Phone(541) 297-5342
Fax(541) 808-0415
Organization SubpartNo
Authorized OfficialWilliam Wallace WebsterOwner · (541) 297-5342
Enumeration DateJune 8, 2020
NPPES CertifiedJune 8, 2020
✔ NPI 1407470214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
620 COMMERCIAL AVE STE A, Coos Bay, OR 97420
Open in Google Maps ↗

Other Identifiers 1

Medicaid274244OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

W. Wallace Webster Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to W. Wallace Webster MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Webster, MD
Otolaryngology
NPI 1528166287
1900 WOODLAND DRIVE
Coos Bay, OR 97420
(541) 267-5151
✔ PECOS✔ Accepts Medicare1.3 mi

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

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 W. Wallace Webster MD LLC's NPI number?

The NPI number for W. Wallace Webster MD LLC is 1407470214. It was assigned to this organization in the NPPES registry on June 8, 2020.

Where is W. Wallace Webster MD LLC located?

W. Wallace Webster MD LLC is located at 620 Commercial Ave Ste A, Coos Bay, OR 97420. The listed phone number is (541) 297-5342.

What is W. Wallace Webster MD LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is W. Wallace Webster MD LLC enrolled in Medicare?

Yes. W. Wallace Webster MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through W. Wallace Webster MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to W. Wallace Webster MD LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does W. Wallace Webster MD LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list W. Wallace Webster MD LLC 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 W. Wallace Webster MD LLC was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.