DR. ROGER A WICKLUND M.D.
NPI 1417065848
Urology in Portland, OR

Q: What is Roger Wicklund's NPI number?

The NPI number for Roger Wicklund is 1417065848. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Q: What is Roger Wicklund's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Roger Wicklund was last updated on October 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 27, 2006PECOS Enrolled

9135 SW BARNES RD, STE. 663, PORTLAND, OR 97225(503) 297-1078(503) 292-2176 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Roger A Wicklund M.d. NPPES

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

DR. ROGER A WICKLUND M.D. (NPI 1417065848) is an individual urology provider in Portland, Oregon, licensed in Oregon (MD09630) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417065848

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. ROGER A WICKLUNDCredential: M.D.

Location Address9135 SW BARNES RD, STE. 663Portland, OR 97225-6646

Mailing Address9135 Sw Barnes Rd, Ste. 663Portland, OR 97225-6646 · (503) 297-1078 · Fax (503) 292-2176

Phone(503) 297-1078

Fax(503) 292-2176

Sole ProprietorNo

Enumeration DateAugust 27, 2006

Last NPPES UpdateOctober 16, 2012

✔ NPI 1417065848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in OR · MD09630✔ Licensed in WA · MD00034648

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

9135 SW BARNES RD, Portland, OR 97225

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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 (PECOS)

Dr. Roger A Wicklund M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97225 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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.