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MICHAEL D WAGNER MD
NPI 1043217797
Internal Medicine - Pulmonary Disease in Espanola, NM

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1010 SPRUCE ST 3RD FL AREA 5, ESPANOLA, NM 87532(505) 367-0340(505) 747-2025 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael D Wagner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL D WAGNER MD (NPI 1043217797) is an individual pulmonary disease provider in Espanola, New Mexico, licensed in New Mexico (81-335) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1043217797
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL D WAGNERCredential: MD
Location Address1010 SPRUCE ST 3RD FL AREA 5Espanola, NM 87532-2724
Mailing Address835 Spruce St Ste BEspanola, NM 87532-3455 · (505) 753-7499 · Fax (505) 753-7578
Phone(505) 367-0340
Fax(505) 747-2025
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 7, 2005
Last NPPES UpdateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1043217797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NM · 81-335
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 81335 (NM)
1010 SPRUCE ST 3RD FL AREA 5, Espanola, NM 87532
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Other Identifiers 1

Medicaid33308NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael D Wagner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678734258
PECOS Enrollment IDI20120406000244
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
467 services251 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
111 services108 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
109 services106 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
107 services104 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
91 services88 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Holy Cross Hospital A Div Of Taos Health Systems

Critical Access Hospitals · Taos, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number321310
Location1397 Weimer RoadTaos, NM 87571 · Taos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers16 claims16 services$100.84 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier15 claims31 services$42.63 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers14 claims14 services$18.61 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers17 claims17 services$22.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers16 claims92 services$3.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
10 suppliers180 claims190 services$18.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Wagner's NPI number?

The NPI number for Michael Wagner is 1043217797. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Michael Wagner located?

Michael Wagner practices at 1010 Spruce St 3rd Fl Area 5, Espanola, NM 87532. The listed phone number is (505) 367-0340.

What is Michael Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Wagner enrolled in Medicare?

Yes. Michael Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Wagner accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and UnitedHealthcare list Michael Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Wagner affiliated with any hospitals?

According to CMS data, Michael Wagner is affiliated with Presbyterian Espanola Hospital and Holy Cross Hospital A Div Of Taos Health Systems.

When was this NPI record last updated?

The NPPES record for Michael Wagner was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.