RUSSELL L WAVRIN MD
NPI 1962479071
Obstetrics & Gynecology in Edina, MN

Q: What is Russell Wavrin's NPI number?

The NPI number for Russell Wavrin is 1962479071. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Q: What is Russell Wavrin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Russell Wavrin was last updated on April 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 07, 2006PECOS Enrolled

6545 FRANCE AVE S, STE 540, EDINA, MN 55435(952) 927-4045(952) 924-4133 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Russell L Wavrin Md NPPES

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

RUSSELL L WAVRIN MD (NPI 1962479071) is an individual obstetrics & gynecology provider in Edina, Minnesota, licensed in Minnesota (244196) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962479071

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameRUSSELL L WAVRINCredential: MD

Location Address6545 FRANCE AVE S, STE 540Edina, MN 55435-2131

Mailing Address6545 France Ave S, Ste 540Edina, MN 55435-2131 · (952) 927-4045 · Fax (952) 924-4133

Phone(952) 927-4045

Fax(952) 924-4133

Sole ProprietorNo

Enumeration DateMarch 7, 2006

Last NPPES UpdateApril 4, 2016

✔ NPI 1962479071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MN · 244196

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · Reproductive EndocrinologyTaxonomy 207VE0102X · License 244196 (MN)

6545 FRANCE AVE S, Edina, MN 55435

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Other Identifiers 5

Medicare UPINB58384

OtherHP14652MN · Healthpartners

Medicare ID-Type Unspecified160000055

Medicaid055302600MN

Other18559WAMN · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell L Wavrin 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 55435 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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