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DR. SCOTT BRIAN WAGNER D.C.
NPI 1053340588
Chiropractor - Sports Physician in Charlottesville, VA

Active since June 30, 2006
0/100
CMS Quality Rating
2109 INDIA RD, CHARLOTTESVILLE, VA 22901(434) 978-4888(434) 978-3633 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2023, Jun 4, 2019 (2 updates tracked since 2019).

About Dr. Scott Brian Wagner D.c. NPPES

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

DR. SCOTT BRIAN WAGNER D.C. (NPI 1053340588) is an individual sports physician in Charlottesville, Virginia, licensed in Virginia (0104555923) and active in the NPI registry since June 2006. He is a graduate of Life Chiropractic College (1999).

NPPES Registry Identity

NPI1053340588
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. SCOTT BRIAN WAGNERCredential: D.C.
Location Address2109 INDIA RDCharlottesville, VA 22901-2886
Mailing Address2109 India RdCharlottesville, VA 22901-2886 · (434) 978-4888 · Fax (434) 978-3633
Phone(434) 978-4888
Fax(434) 978-3633
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1999
Enumeration DateJune 30, 2006
Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
✔ NPI 1053340588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in VA · 0104555923
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
2109 INDIA RD, Charlottesville, VA 22901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Brian Wagner D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153446489
PECOS Enrollment IDI20100910000072

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
640 services129 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED MOBILE WOUND CARE OF VIRGINIA LLC
General Practice
2109 INDIA RD
CHARLOTTESVILLE, VA 22901
Albemarle County (276) 685-1185
DR. JASON HARPER DC
Chiropractor
2109 INDIA RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-4888
SCOTT WAGNER INTEGRATED MEDICINE LLC
General Practice
2109 INDIA RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-4888
DR. MICHAEL MATTHEW NARVID DC
Chiropractor
2109 INDIA RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-4888
DEREK SISAK DC
Chiropractor
2109 INDIA RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-4888
ADVANCED PAIN MANAGEMENT OF VIRGINIA LLC
General Practice
2109 INDIA RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-4888
MICHAEL S CORBETT PA-C
Physician Assistant (Medical)
2109 INDIA RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 978-4888

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 Scott Wagner's NPI number?

The NPI number for Scott Wagner is 1053340588. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Scott Wagner located?

Scott Wagner practices at 2109 India Rd, Charlottesville, VA 22901. The listed phone number is (434) 978-4888.

What is Scott Wagner's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Scott Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Scott Wagner was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.