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DR. MATTHEW DALE WAGNER M.D.
NPI 1487869996
Urology in Clackamas, OR

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(800) 813-2000(855) 524-5255 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Matthew Dale Wagner M.d. NPPES

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

DR. MATTHEW DALE WAGNER M.D. (NPI 1487869996) is an individual urology provider in Clackamas, Oregon, licensed in Oregon (MD28198) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Oregon Health Sciences University School Of Medicine (2002).

NPPES Registry Identity

NPI1487869996
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MATTHEW DALE WAGNERCredential: M.D.
Location Address9900 SE SUNNYSIDE RDClackamas, OR 97015-9777
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000 · Fax (855) 524-5255
Phone(800) 813-2000
Fax(855) 524-5255
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2002
Enumeration DateMay 10, 2007
Last NPPES UpdateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1487869996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in OR · MD28198✔ Licensed in WA · MD60003290✔ Licensed in OR · LL16353
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.
9900 SE SUNNYSIDE RD, Clackamas, OR 97015
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11230 7th AveLongview, WA 98632-3166 · Phone (800) 813-2000 · Fax (855) 524-5255
Location 23303 SW Bond Ave, CH10UPortland, OR 97239-4501 · Phone (503) 494-8311 · Fax (503) 494-8671
Location 312607 SE Mill Plain BlvdVancouver, WA 98684-6055 · Phone (800) 813-2000 · Fax (855) 524-5255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Dale Wagner M.d. 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 ID5698849263
PECOS Enrollment IDI20080730000422, I20091006000727
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 Reassignment

Medicare enrollment records show Matthew Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
0.2 mi
Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1174851505 (503) 659-2454

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
$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.

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.

DR. RONALD LEE LOHMAN MD
Orthopaedic Surgery
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-4227
DR. SCOTT KEOLA MIYAKE M.D.
Internal Medicine (Nephrology)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
JO M MARTIN MD
Dermatology
9900 SE SUNNYSIDE RD, NW PERMANENTE PC, PHYSICIANS AND SURGEONS
CLACKAMAS, OR 97015
Clackamas County (503) 571-3332
DALE FOSSATI
Physician Assistant (Medical)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8240
SARAH COX MSW
Counselor (Mental Health)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (971) 235-7583
NOEL M LEE MD
Internal Medicine (Gastroenterology)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
MS. BRENDA LOU BUCK RD
Dietitian, Registered
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-3764
DR. JEFFERY ZHU HU MD
Dermatology
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000

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 Matthew Wagner's NPI number?

The NPI number for Matthew Wagner is 1487869996. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Matthew Wagner located?

Matthew Wagner practices at 9900 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.

What is Matthew Wagner's specialty?

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

Is Matthew Wagner enrolled in Medicare?

Yes. Matthew 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.

Which organization bills Medicare for Matthew Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wagner reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). The 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 Matthew Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Wagner accept?

Health plans from Kaiser Permanente list Matthew Wagner 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 Matthew Wagner was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.