DEBRA ANN WAGNER MD
NPI 1013989623
Internal Medicine in Simpsonville, SC
About Debra Ann Wagner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBRA ANN WAGNER MD (NPI 1013989623) is an individual internal medicine provider in Simpsonville, South Carolina, licensed in South Carolina (32275) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Debra Ann Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Debra Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Live Oak, FL 32060
- Reassigned Medicare billing, Florida enrollment
- 17 clinicians in this Medicare group
Tallahassee, FL 32310
- Reassigned Medicare billing, Florida enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29681 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Debra Wagner's NPI number?
The NPI number for Debra Wagner is 1013989623. It was assigned to this individual provider in the NPPES registry on February 7, 2006.
Where is Debra Wagner located?
Debra Wagner practices at 727 SE Main St Suite 300, Simpsonville, SC 29681. The listed phone number is (864) 522-1170.
What is Debra Wagner's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Debra Wagner enrolled in Medicare?
Yes. Debra Wagner is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Debra Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Wagner reassigns Medicare benefits to 2 organizations: Acv Community Services LLC (Live Oak, FL) and Florida Medical Practice Plan Inc (Tallahassee, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Debra Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Debra Wagner was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Debra Ann Wagner, MD · NPI 1013989623
Internal Medicine physician in Simpsonville, South Carolina. Individual provider, active in the CMS NPPES registry since February 7, 2006.
## Identity
- **NPI:** 1013989623 (Entity type: Individual)
- **Enumerated:** February 7, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 32275 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 727 SE MAIN ST, SUITE 300, Simpsonville, SC 29681-3247
- **Phone:** (864) 522-1170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Acv Community Services LLC (NPI 1174630693, Live Oak, FL); Florida Medical Practice Plan Inc (NPI 1326386293, Tallahassee, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2015
- **Other identifiers:** Medicaid 89139NW (NC); Medicaid 322751 (SC); Medicare UPIN E74266; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1013989623) · Data from the CMS NPPES public registry.