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Andrew Wagner

Occupational Therapist - Hand • Gresham, OR

Active NPI 1073900320 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

24076 Se Stark St Ste 200
Gresham, OR 970303376

Call 5036747860 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

24076 Se Stark St Ste 200

Gresham, OR 970303376

Telephone 5036747860
Organization at the Same NPPES Address or Phone
Sportscare Integrative Physical Therapy Facility NPI 1548724677

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sportscare Physical Therapy @ Cornell, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Medicare patients

51 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $19,834 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $15,714 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Andrew Wagner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Gresham and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Occupational Therapist - Hand in Oregon (2024, 25 clinicians with data). Median for this group: 421. Middle half: 217 to 759.

Too few clinicians listed under Occupational Therapist - Hand in Gresham have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Occupational Therapist - Hand in Oregon (2024, 25 clinicians with data). Median for this group: $13,182. Middle half: $5,940 to $19,917.

Too few clinicians listed under Occupational Therapist - Hand in Gresham have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Occupational Therapist - Hand in Oregon (2024, 25 clinicians with data). Median for this group: $9,963. Middle half: $4,458 to $15,714.

Too few clinicians listed under Occupational Therapist - Hand in Gresham have Medicare Part B data for 2024 to compare.

6 active clinicians are listed under Occupational Therapist - Hand with a practice address in Gresham, OR (66 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2023–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
321 45 $89.90 $31.56
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
154 34 $77.89 $24.11
97018 Application of hot wax bath
139 32 $15.13 $4.01
97140 Therapy procedure using manual technique, each 15 minutes
109 29 $75.00 $21.18
97168 Re-evaluation for occupational therapy, typically 30 minutes
20 16 $181.09 $72.40
97166 Evaluation for occupational therapy, typically 45 minutes
16 16 $283.00 $104.75

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-29
Occupational Therapist - Hand Primary Specialty

NUCC Taxonomy Code: 225XH1200X

License # reported to NPPES OR 423249
Social Worker

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20221212000184

Enrollment State Jurisdiction

OR

PECOS Control ID

0244609469

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sportscare Physical Therapy @ Cornell, Llc

16100 Nw Cornell Rd, Beaverton, OR 970067369

Phone: 9712456663

Sportscare Physical Therapy @ Cornell, Llc

7320 Sw Hunziker Rd, Tigard, OR 972232300

Phone: 5088822351

Sportscare Physical Therapy @ Cornell, Llc

10121 Se Sunnyside Rd, Clackamas, OR 970155750

Phone: 5037940103

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Rosie Endow , OTR, L

Occupational Therapist

NPI 1154027993

Occupational Therapist Registered, L

Dafna Noam , OTR, L

Occupational Therapist

NPI 1710607585

Occupational Therapist Registered, L

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location November 29, 2022

Registered at 24076 SE STARK ST STE 200, GRESHAM, OR 970303376 (Tel: 5036747860)

📍
Updated Business Mailing Address November 29, 2022

Registered at 24076 SE STARK ST STE 200, GRESHAM, OR 970303376 (Tel: 5036747860)

✅
NPI Profile Active April 23, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 23, 2015

Registered at 3415 SE POWELL BLVD, PORTLAND, OR 972023371 (Tel: 5032349591)

📍
Business Mailing Address (Initial Record) April 23, 2015

Registered at 3415 SE POWELL BLVD, PORTLAND, OR 972023371 (Tel: 5032349591)

👤
Provider Name / Credentials (Initial Record) April 23, 2015

Recorded as ANDREW WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2015

Social Worker

🟢
Initial NPI Registration & Enumeration April 23, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073900320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2015
Last Update: November 29, 2022
Sole Proprietor: No

More public profiles in Oregon

Directory navigation, in NPI number order.

Mailing Address

24076 Se Stark St Ste 200

Gresham, OR 970303376

Phone: 5036747860

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.