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

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: August 09, 2026.

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.

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.

CHANTAL ROSS RN
Registered Nurse
21100 SOUTHGATE PARK BLVD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (440) 578-8200
TEONGELA JOHNSON
Case Manager/Care Coordinator
21100 SOUTHGATE PARK BLVD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (440) 578-8200
RACHEL KELLEY
Social Worker
21100 SOUTHGATE PARK BLVD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (440) 578-8200
JORDAN JARRETT
Case Manager/Care Coordinator
21100 SOUTHGATE PARK BLVD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (216) 663-6100
MR. DUANE EDWARD ADKINS
Counselor (Addiction (Substance Use Disorder))
21100 SOUTHGATE PARK BLVD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (440) 953-9999
LISA WYZYKOWSKI
Case Manager/Care Coordinator
21100 SOUTHGATE PARK BLVD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (440) 953-9999
SHAWANNA WILLIS-SHERELS
Counselor
21100 SOUTHGATE PARK BLVD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (440) 953-9999
SIGNATURE HEALTH INC. PHARMACY
Pharmacy (Long Term Care Pharmacy)
21100 SOUTHGATE PARK BLVD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (216) 395-1060

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 Todd Wagner's NPI number?

The NPI number for Todd Wagner is 1063674299. It was assigned to this individual provider in the NPPES registry on June 29, 2008.

Where is Todd Wagner located?

Todd Wagner practices at 21100 Southgate Park Blvd, Maple Heights, OH 44137. The listed phone number is (216) 663-6100.

What is Todd Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Todd Wagner enrolled in Medicare?

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

What insurance does Todd Wagner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Todd 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.

When was this NPI record last updated?

The NPPES record for Todd Wagner was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.