Individual provider Active NPI

Cody Keith Wasner, M.D.

  • Rheumatology Physician
  • Springfield, OR
National Provider Identifier
1245222322
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
12537 Issued in OR
Practice address
1007 Harlow Rd Ste 210
Springfield, OR 97477-7126
Phone
(541) 741-0387
Fax
(541) 242-4634
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 12537 OR Primary

Addresses

Primary practice location

1007 Harlow Rd Ste 210
Springfield, OR 97477-7126

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 242-4384

Other practice location 1

1650 Chambers St
Eugene, OR 97402-3636
Phone (541) 741-0387

Other practice location 2

1200 Executive Pkwy
Ste 300
Eugene, OR 97401-2192
Phone (541) 683-0710

Other identifiers 1

IdentifierTypeStateIssuer
228395MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040107000189 OR Practitioner - Rheumatology 6800795055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
63.97 of 100Reported as group
Quality
79.08
Promoting interoperability
0
Improvement activities
40
Cost
84.14

Merit-based Incentive Payment System (MIPS)

Final score
86.57 of 100Reported as group
Quality
93.49
Promoting interoperability
100
Improvement activities
40
Cost
61.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12537ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

1650 Chambers St
Eugene, OR 97402
Phone (541) 636-9015

1007 Harlow Rd
Springfield, OR 97477
Phone (541) 284-1600

1007 Harlow Rd
Ste 210
Springfield, OR 97477
Phone (541) 284-1600

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: cwasner@yourcarecommunity.org
  • Direct secure messaging: cwasner129585@westdirect.optum.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1245222322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-242-4384",
            "fax_number": "541-463-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HARLOW RD STE 210",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777126",
            "telephone_number": "541-741-0387",
            "fax_number": "541-242-4634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Chambers St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974023636",
            "country_code": "US",
            "telephone_number": "541-741-0387",
            "fax_number": "541-242-4634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Executive Pkwy",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012192",
            "country_code": "US",
            "telephone_number": "541-683-0710",
            "fax_number": "541-683-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASNER",
        "first_name": "CODY",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "12537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228395",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.