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CATHERINE Y.H. WAGONER MD
NPI 1487627550
Pediatrics in Clackamas, OR

Active since February 09, 2006PECOS Enrolled
9290 SE SUNNYBROOK BLVD STE 120, CLACKAMAS, OR 97015(503) 215-2110 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2021, Feb 16, 2021 (2 updates tracked since 2021).

About Catherine Y.h. Wagoner Md NPPES

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

CATHERINE Y.H. WAGONER MD (NPI 1487627550) is an individual pediatrics provider in Clackamas, Oregon, licensed in Oregon (MD171324) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Reno.

NPPES Registry Identity

NPI1487627550
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCATHERINE Y.H. WAGONERCredential: MD
Location Address9290 SE SUNNYBROOK BLVD STE 120Clackamas, OR 97015-6802
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 215-2110
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1487627550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OR · MD171324✔ Licensed in NV · 9839
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9290 SE SUNNYBROOK BLVD STE 120, Clackamas, OR 97015
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Secondary Practice Location 1

Location 110581 Double R BlvdReno, NV 89511 · Phone (775) 324-0766 · Fax (775) 324-0788

Other Identifiers 1

Medicaid002016768NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Catherine Y.h. Wagoner Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Catherine Wagoner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Oregon
Same address
Family Medicine
9290 SE SUNNYBROOK BLVD, SUITE 120
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1245330380 (503) 215-2110
Legacy Emanuel Hospital & Health Center
8.5 mi
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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.

Other Providers at the Same Location NPPES 13

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

ABBY DUVAL GRABOWSKI PT, DPT
Physical Therapist
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015
Clackamas County (502) 215-2110
BENJAMIN DANIEL HOUSER MD
Family Medicine
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
DR. ANNELISE MICHELLE MANNS PSYD
Psychologist (Clinical)
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
MR. BENJAMIN HEARTY PA-C
Physician Assistant
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
MELISSA G ARCE RD
Dietitian, Registered
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
RACHEL CANTRELL GALLAGHER MD
Family Medicine
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
TINA L VAVRO D.O.
Pediatrics
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
LAUREN E MOORE DO
Family Medicine
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110

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 Catherine Wagoner's NPI number?

The NPI number for Catherine Wagoner is 1487627550. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Catherine Wagoner located?

Catherine Wagoner practices at 9290 SE Sunnybrook Blvd Ste 120, Clackamas, OR 97015. The listed phone number is (503) 215-2110.

What is Catherine Wagoner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Catherine Wagoner enrolled in Medicare?

Yes. Catherine Wagoner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Catherine Wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Wagoner reassigns Medicare benefits to 2 organizations: Providence Health & Services Oregon (Clackamas, OR) and Legacy Emanuel Hospital & Health Center (Portland, 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 Catherine Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Catherine Wagoner was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.