TODD EMMIT WAGNER M.D.
NPI 1063674299
Family Medicine in Maple Heights, OH

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since June 29, 2008PECOS Enrolled

21100 SOUTHGATE PARK BLVD, MAPLE HEIGHTS, OH 44137(216) 663-6100(216) 395-1071 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Todd Emmit Wagner M.d. NPPES

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

TODD EMMIT WAGNER M.D. (NPI 1063674299) is an individual family medicine provider in Maple Heights, Ohio, licensed in Ohio (35.099746) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1063674299

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTODD EMMIT WAGNERCredential: M.D.

Location Address21100 SOUTHGATE PARK BLVDMaple Heights, OH 44137-3004

Mailing Address21100 Southgate Park BlvdMaple Heights, OH 44137-3004 · (216) 663-6100 · Fax (216) 395-1071

Phone(216) 663-6100

Fax(216) 395-1071

Sole ProprietorNo

Enumeration DateJune 29, 2008

Last NPPES UpdateDecember 7, 2018

✔ NPI 1063674299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.099746

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21100 SOUTHGATE PARK BLVD, Maple Heights, OH 44137

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Secondary Practice Location 1

Location 11530 Saint Clair Ave NECleveland, OH 44114-2004 · Phone (216) 781-6228

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Todd Emmit 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 44137 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.