MR. RUSSELL MATTHEW WIMMER PA-C
NPI 1912472143
Physician Assistant in Lebanon, OR
About Mr. Russell Matthew Wimmer Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RUSSELL MATTHEW WIMMER PA-C (NPI 1912472143) is an individual physician assistant in Lebanon, Oregon, licensed in Oregon (PA189087) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Russell Matthew Wimmer Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Russell Wimmer's NPI number?
The NPI number for Russell Wimmer is 1912472143. It was assigned to this individual provider in the NPPES registry on October 3, 2018.
Where is Russell Wimmer located?
Russell Wimmer practices at 425 N Santiam Hwy, Lebanon, OR 97355. The listed phone number is (541) 451-6960.
What is Russell Wimmer's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Russell Wimmer enrolled in Medicare?
Yes. Russell Wimmer is registered in the Medicare PECOS enrollment system.
What insurance does Russell Wimmer accept?
Health plans from Moda Health Plan, Inc. list Russell Wimmer 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 Russell Wimmer was last updated on November 4, 2020. 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.
# Mr. Russell Matthew Wimmer, PA-C · NPI 1912472143
Physician Assistant physician in Lebanon, Oregon. Individual provider, active in the CMS NPPES registry since October 3, 2018.
## Identity
- **NPI:** 1912472143 (Entity type: Individual)
- **Enumerated:** October 3, 2018
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA189087 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 425 N SANTIAM HWY, Lebanon, OR 97355-4361
- **Phone:** (541) 451-6960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1912472143) · Data from the CMS NPPES public registry.