Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CHARLES I WAGNER M.D.
NPI 1053353920
Internal Medicine - Gastroenterology in Rydal, PA

Active since June 12, 2006PECOS Enrolled
1095 RYDAL RD, SUITE 100, RYDAL, PA 19046(267) 620-1100(215) 572-1279 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles I Wagner M.d. NPPES

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

DR. CHARLES I WAGNER M.D. (NPI 1053353920) is an individual gastroenterology provider in Rydal, Pennsylvania, licensed in Palau (MD010259E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053353920
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. CHARLES I WAGNERCredential: M.D.
Location Address1095 RYDAL RD, SUITE 100Rydal, PA 19046-1711
Mailing Address1095 Rydal Rd, Suite 100Rydal, PA 19046-1711 · (267) 620-1100 · Fax (215) 572-1279
Fax(215) 572-1279
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1053353920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PW · MD010259E
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1095 RYDAL RD, Rydal, PA 19046

Other Identifiers 5

Other0949753PA · Cigna
OtherP406157PA · Oxford
Other14617PW · Health Partners
Other0046041000PA · Keystone East
Medicaid007542510002PW

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. Charles I Wagner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19046 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Physician Assistant
1095 RYDAL RD
RYDAL, PA 19046
Physician Assistant
1095 RYDAL RD
JENKINTOWN, PA 19046
Internal Medicine (Gastroenterology)
1095 RYDAL RD
JENKINTOWN, PA 19046
Internal Medicine (Gastroenterology)
1095 RYDAL RD, SUITE 100
RYDAL, PA 19046
Internal Medicine (Gastroenterology)
1095 RYDAL RD, SUITE 100
RYDAL, PA 19046
Internal Medicine (Gastroenterology)
1095 RYDAL RD, SUITE 100
RYDAL, PA 19046
Internal Medicine (Gastroenterology)
1095 RYDAL RD, SUITE 100
RYDAL, PA 19046
Physician Assistant
1095 RYDAL RD
JENKINTOWN, PA 19046

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 Charles Wagner's NPI number?

The NPI number for Charles Wagner is 1053353920. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Charles Wagner located?

Charles Wagner practices at 1095 Rydal Rd Suite 100, Rydal, PA 19046. The listed phone number is (267) 620-1100.

What is Charles Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Charles Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Wagner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.