Active NPI 1891710869 Individual Practitioner Male Practitioner

Dr. Mark Bastian Wagner , MD

Orthopaedic Surgery • Tigard, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Wagner, MD is a certified Orthopaedic Surgery practicing in Tigard, OR. With approximately 25 years of clinical experience since graduating from Temple University School Of Medicine in 2001, Dr. Wagner delivers high-quality medical care to the local community at 15755 SW SEQUOIA PKWY.

Dr. Wagner is affiliated with Regenerative Orthopedic Center Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, x-ray of hip, 2-3 views, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15755 Sw Sequoia Pkwy
Suite 200

Tigard, OR 972247166

Telephone 5036396002

Fax 5036391403

Associated Practice Facility / Clinic

🏢 Bridgeport Mri Llc Facility NPI 1538107941

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tigard, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +3.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Tigard, OR (360 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (25 Years) 25 Yrs

Tigard Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	411	60	$3.30	$0.92
73502 X-ray of hip, 2-3 views	144	128	$140.53	$48.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$469.93	$162.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	61	$364.04	$123.83
27130 Replacement of thigh bone and hip joint with prosthesis	39	39	$3558.12	$1225.91
72100 X-ray of lower and sacral spine, 2-3 views	39	39	$118.68	$40.50
20985 Computer-assisted surgery for muscle and bone procedure	38	38	$393.53	$134.75
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$266.59	$86.02
73521 X-ray of both hips, 2 views	22	21	$121.89	$41.98
73564 X-ray of knee, 4 or more views	22	19	$151.30	$48.05
73562 X-ray of knee, 3 views	20	18	$119.66	$41.61
73030 X-ray of shoulder, minimum of 2 views	17	14	$101.12	$35.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	207	35	$17.48	$1.01
73502 X-ray of hip, 2-3 views	117	109	$119.71	$48.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$425.92	$163.51
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$225.36	$90.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$284.74	$126.96
27130 Replacement of thigh bone and hip joint with prosthesis	27	26	$3851.22	$1256.44
20985 Computer-assisted surgery for muscle and bone procedure	26	25	$421.97	$139.18
73564 X-ray of knee, 4 or more views	24	19	$121.22	$47.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$267.77	$111.35
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$98.46	$41.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73502 X-ray of hip, 2-3 views	71	70	$125.96	$48.06
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$221.79	$88.58
27130 Replacement of thigh bone and hip joint with prosthesis	32	31	$4210.82	$1210.02
20985 Computer-assisted surgery for muscle and bone procedure	29	28	$458.65	$142.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$328.38	$110.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$498.49	$160.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$221.79	$89.93
73502 X-ray of hip, 2-3 views	30	30	$125.96	$45.87
73501 X-ray of hip with pelvis, 1 view	29	28	$90.43	$32.11
20985 Computer-assisted surgery for muscle and bone procedure	29	28	$458.65	$142.42
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$4210.82	$1245.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$498.49	$162.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$328.38	$109.98
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	12	11	$278.85	$97.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	14	$5.00	$1.47
99213 Established patient office or other outpatient visit, typically 15 minutes	42	35	$221.79	$78.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$328.38	$110.92
73501 X-ray of hip with pelvis, 1 view	41	40	$90.43	$33.06
27130 Replacement of thigh bone and hip joint with prosthesis	20	19	$4063.44	$1406.70
20985 Computer-assisted surgery for muscle and bone procedure	20	19	$458.65	$151.83
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	17	17	$278.85	$99.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	176	25	$5.00	$1.57
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$221.79	$74.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$328.38	$111.47
73501 X-ray of hip with pelvis, 1 view	49	43	$90.43	$32.33
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	27	25	$278.85	$92.01
72190 X-ray of pelvis, minimum of 3 views	21	21	$115.20	$41.70
27130 Replacement of thigh bone and hip joint with prosthesis	17	16	$4285.13	$1401.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$326.22	$112.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	184	25	$5.00	$1.74
72170 X-ray of pelvis, 1-2 views	56	50	$96.89	$31.84
99213 Established patient office or other outpatient visit, typically 15 minutes	51	39	$221.79	$71.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$328.38	$104.39
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	31	26	$278.85	$80.75
72190 X-ray of pelvis, minimum of 3 views	17	17	$115.20	$36.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$326.22	$107.35
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$4316.09	$1352.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	136	22	$5.00	$1.76
99213 Established patient office or other outpatient visit, typically 15 minutes	45	36	$221.79	$69.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$328.38	$104.17
72170 X-ray of pelvis, 1-2 views	36	33	$96.89	$31.26
72190 X-ray of pelvis, minimum of 3 views	19	19	$115.20	$33.84
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	19	$278.85	$81.95

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OR MD26810

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Specialist

NUCC Taxonomy Code: 174400000X

State License OR MD26810

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

006033 (OR)

Commercial Insurance / Payer ID Tax Id

93-1280904 (OR)

Commercial Insurance / Payer ID Npi

1891710869 (OR)

Hospital & Practice Group Affiliations

Regenerative Orthopedic Center Llc

15755 Sw Sequoia Pkwy, Tigard, OR 972247166

Phone: 5036396002

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Scott Grewe , MD

Orthopaedic Surgery

NPI 1013919919

Doctor of Medicine (M.D.)

Dr. Brian Puskas , MD

Orthopaedic Surgery

NPI 1053586016

Doctor of Medicine (M.D.)

Emily Geyen , PA-C

Physician Assistant

NPI 1194343640

Physician Assistant (Certified)

Jennifer Van Atta , PA

Physician Assistant

NPI 1295818383

Physician Assistant

Dr. Christopher Nanson , MD

Orthopaedic Surgery

NPI 1386717882

Doctor of Medicine (M.D.)

Dr. Robert Wilson , MD

Orthopaedic Surgery

NPI 1457353179

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 07, 2015

Registered at 15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 972247166 (Tel: 5036396002)

📍

Updated Business Mailing Address April 07, 2015

Registered at 15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 972247166 (Tel: 5036396002)

👤

Provider Name / Credentials Updated April 07, 2015

Recorded as MARK WAGNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2015

Specialist (License #MD26810 in OR)

🟢

Initial NPI Registration & Enumeration July 12, 2006

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: 1891710869

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2006

Last Update: April 07, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15755 Sw Sequoia Pkwy, Suite 200

Tigard, OR 972247166

Phone: 5036396002

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.