Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487869996 Individual Practitioner Male Practitioner

Dr. Matthew Dale Wagner , MD

Urology • Clackamas, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Wagner, MD is a certified Urology practicing in Clackamas, OR. With approximately 24 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 2002, Dr. Wagner delivers high-quality medical care to the local community at 9900 SE SUNNYSIDE RD.

Dr. Wagner is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9900 Se Sunnyside Rd

Clackamas, OR 970159777

Telephone 8008132000
Fax 8555245255
Associated Practice Facility / Clinic
🏢 Kaiser Foundation Hospitals Facility NPI 1275619215

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Clackamas, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +3.7 yrs vs City Avg
City Avg: 20.3 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Clackamas, OR (201 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (24 Years) 24 Yrs
Clackamas Specialty Average (20.3 Years) 20.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-08
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OR MD28198

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.

Urology

NUCC Taxonomy Code: 208800000X

State License WA MD60003290

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.

Urology

NUCC Taxonomy Code: 208800000X

State License OR LL16353

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.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

12607 Se Mill Plain Blvd, Vancouver, WA 986844098

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10180 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

9900 Se Sunnyside Rd, Clackamas, OR 970159777

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10100 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Secondary Practice Locations

3303 Sw Bond Ave, Ch10u

Portland, OR 972394501

Phone: 5034948311

1230 7th Ave

Longview, WA 986323166

Phone: 8008132000

12607 Se Mill Plain Blvd

Vancouver, WA 986846055

Phone: 8008132000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nancy Waltz , MS CCC-SLP

Speech-Language Pathologist

NPI 1003054149

MSCCCSLP

Melissa Hill

Counselor - Addiction (Substance Use Disorder)

NPI 1003206236
NPI 1003251133

Doctor of Medicine (M.D.)

Rachael Scoones

Nurse Anesthetist, Certified Registered

NPI 1003524109
Danaya Hall , SWHNP

Nurse Practitioner

NPI 1003573825
Megan Martin , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1003579194

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 08, 2025

Registered at 9900 SE SUNNYSIDE RD, CLACKAMAS, OR 970159777 (Tel: 8008132000)

📍
Updated Business Mailing Address September 08, 2025

Registered at 500 NE MULTNOMAH ST STE 100, PORTLAND, OR 972322031 (Tel: 8008132000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Urology (License #MD60003290 in WA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3303 SW BOND AVE, CH10U, PORTLAND, OR 972394501 (Tel: 5034948311)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1836 SE 36TH AVE, PORTLAND, OR 972145128 (Tel: 5035255833)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MATTHEW WAGNER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #LL16353 in OR)

🟢
Initial NPI Registration & Enumeration May 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487869996
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: September 08, 2025
Sole Proprietor: No

Mailing Address

500 Ne Multnomah St Ste 100

Portland, OR 972322031

Phone: 8008132000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.