Colter Reid Wichern, MD, MS

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD205017 Issued in OR

Practice address

960 16TH St Ste 304
Springfield, OR 97477-4175

Phone

(541) 744-6172

NPI assigned

Mar 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Cardiology

Education

Oregon Health Sciences University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McKenzie Physician Services LLCGroup PAC ID 1254307994, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020
• Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
• Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwichern@yourcarecommunity.org
• Direct secure messaging: colter.wichern.1@1804.direct.athenahealth.com

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.

• McKenzie Physician Services LLC

  • General Practice Physician
  • Brentwood, TN
  • NPI 1316909054

  OR

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Commonspirit Oregon

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198
  Care Compare affiliation
• McKenzie-Willamette Regional Medical Center Associates LLC

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1568413573
  Care Compare affiliation
• Peacehealth

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1083888515
  Care Compare affiliation
• Peacehealth

  • Psychiatric Hospital Unit
  • Eugene, OR
  • NPI 1568236974
  Care Compare affiliation

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1649775388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 16TH ST STE 304",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774175",
            "telephone_number": "541-744-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 16TH ST STE 304",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774175",
            "telephone_number": "541-744-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHERN",
        "first_name": "COLTER",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD205017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie McGraw Whiteley
• Lynne Whitledge
• James M Whitmore, MD
• Stephen Edward Whorrall, PA-C
• Tina Wibstad, LCSW, LSSW, CADC III
• Akiva Wickramaratna
• Cassie Colleen Widdison
• Rebekah Shea Wieland, MD
• Laura Marie Wiese, CNM
• Kevin Sean Wilbanks, M.A.

• Interventional Cardiology Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• Interventional Cardiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.