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

Q: 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.

Q: What is Catherine Wagoner's specialty?

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

Q: When was this NPI record last updated?

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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 11

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

ABBY DUVAL GRABOWSKI PT, DPT

Physical Therapist