THEODORE CHARLES WOGAN
NPI 1952015471
Nurse Practitioner - Family in Medford, OR

Q: What is Theodore Wogan's NPI number?

The NPI number for Theodore Wogan is 1952015471. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Q: What is Theodore Wogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Wogan was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment

2825 E BARNETT RD, MEDFORD, OR 97504(541) 789-7000 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Jan 9, 2023 (2 updates tracked since 2023).

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About Theodore Charles Wogan NPPES

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

THEODORE CHARLES WOGAN (NPI 1952015471) is an individual family provider in Medford, Oregon, licensed in Oregon (10003883) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1952015471

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTHEODORE CHARLES WOGAN

Location Address2825 E BARNETT RDMedford, OR 97504-8332

Mailing Address24 Emerick StAshland, OR 97520-2066 · (541) 591-5934

Phone(541) 789-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 9, 2023

Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1952015471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 10003883

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2825 E BARNETT RD, Medford, OR 97504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore Charles Wogan 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 ID8325413768

PECOS Enrollment IDI20230417001634

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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380002

Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County

Emergency services Birthing friendly

Asante Ashland Community Hospital

Acute Care Hospitals · Ashland, OR

OwnershipGovernment - Local

CMS Certification Number380005

Location280 Maple StreetAshland, OR 97520 · Jackson County

Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380018

Location2825 E Barnett RoadMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Curry General Hospital

Critical Access Hospitals · Gold Beach, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381322

Location94220 Fourth StreetGold Beach, OR 97444 · Curry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 20

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

MR. EDWARD LEWIS WYANT R.PH

Pharmacist