Matthew Dale Wagner, M.D.
NPI 1487869996ActiveIndividual· Urology· Clackamas, OR
Urology (M.D.) in Clackamas, Oregon, trained at Oregon Health Sciences University School of Medicine (class of 2002). Their prescriptions cost Medicare Part D more than their services did: $28,809 for 1,509 claims, against $3,002 paid for services in 2024.
Overview
| NPI | 1487869996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 10, 2007 |
| Last updated in NPPES | Sep 8, 2025 |
| Certified by provider | Sep 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | MD28198 | OR |
| Urology | 208800000X | MD60003290 | WA |
| Urology | 208800000X | LL16353 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (OR); Practitioner - Urology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 59 across 19 procedure codes |
| Paid by Medicare | $3,002 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,509 · 3,361 30-day fills |
|---|---|
| Patients | 430 |
| Total drug cost | $28,809 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | Oregon Health Sciences University School of Medicine |
|---|---|
| Graduation year | 2002 |
| Medicare specialty | Urology |
Medical group
- Kaiser Foundation Health Plan of the NorthwestSalem, OR · 1,807 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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