KATHRYN R WAGNER MD
NPI 1043508617
Radiology - Diagnostic Radiology in Worcester, MA

Active since July 18, 2011PECOS Enrolled
10 BELVIDERE AVE, WORCESTER, MA 01605(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2018, Apr 18, 2017 (2 updates tracked since 2017).

About Kathryn R Wagner Md NPPES

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

KATHRYN R WAGNER MD (NPI 1043508617) is an individual diagnostic radiology provider in Worcester, Massachusetts, licensed in Massachusetts (269724) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2011).

NPPES Registry Identity

NPI1043508617
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKATHRYN R WAGNERCredential: MD
Location Address10 BELVIDERE AVEWorcester, MA 01605
Mailing Address11995 Singletree Ln, Ste 500Eden Prairie, MN 55344-5347 · (952) 595-1301 · Fax (612) 294-4903
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2011
Enumeration DateJuly 18, 2011
Last NPPES UpdateAugust 7, 20182 updates tracked since enumeration
✔ NPI 1043508617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MA · 269724✔ Licensed in LA · 304543
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
10 BELVIDERE AVE, Worcester, MA 01605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn R Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092006486
PECOS Enrollment IDI20190503000998
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kathryn Wagner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1210 SILAS DEANE HWY
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
Diagnostic Radiology
565 LONG HILL RD
Groton, CT 06340
  • Reassigned Medicare billing, Connecticut enrollment
  • 101 clinicians in this Medicare group
Diagnostic Radiology
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 110 clinicians in this Medicare group
Diagnostic Radiology
863 N MAIN STREET EXT
Wallingford, CT 06492
  • Reassigned Medicare billing, Connecticut enrollment
  • 108 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.

Areas of Expertise CMS Part B claims 36

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
6,305 services60 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
266 services266 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
266 services266 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
228 services213 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
85 services85 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
81 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kathryn Wagner's NPI number?

The NPI number for Kathryn Wagner is 1043508617. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Kathryn Wagner located?

Kathryn Wagner practices at 10 Belvidere Ave, Worcester, MA 01605. The listed phone number is (952) 595-1100.

What is Kathryn Wagner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kathryn Wagner enrolled in Medicare?

Yes. Kathryn Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathryn Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Wagner reassigns Medicare benefits to 4 organizations: Starling Physicians, PLLC (Wethersfield, CT), Diagnostic Imaging Services Of Ct, LLC (Groton, CT), Midstate Radiology Associates, LLC (Meriden, CT) and Meriden Imaging Center, Inc. (Wallingford, CT). 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 Kathryn 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 Kathryn Wagner was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.