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DR. SAMUEL WAGNER M.D.
NPI 1083148936
Emergency Medicine in San Francisco, CA

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
1001 POTRERO AVE RM 1E21, SAN FRANCISCO, CA 94110(628) 206-5753 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2022, Apr 18, 2017 (2 updates tracked since 2017).

About Dr. Samuel Wagner M.d. NPPES

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

DR. SAMUEL WAGNER M.D. (NPI 1083148936) is an individual emergency medicine provider in San Francisco, California, licensed in California (A169300) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2017).

NPPES Registry Identity

NPI1083148936
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SAMUEL WAGNERCredential: M.D.
Location Address1001 POTRERO AVE RM 1E21San Francisco, CA 94110-3518
Mailing Address1001 Potrero Ave Rm 1e21San Francisco, CA 94110-3518
Phone(628) 206-5753
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2017
Enumeration DateApril 18, 2017
Last NPPES UpdateJune 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1083148936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A169300
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1001 POTRERO AVE RM 1E21, San Francisco, CA 94110
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Secondary Practice Location 1

Location 13901 Rainbow Blvd, University of Kansas Hospital, Emergency MedicineKansas City, KS 66160-8500 · Phone (913) 588-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Wagner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557633617
PECOS Enrollment IDI20220124000879
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

3

Medicare enrollment records show Samuel Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California Sfgh Medical Group
Same address
Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83 RM 320
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 842 clinicians in this Medicare group
NPI 1174598296 (628) 206-8610
San Francisco Emergency Medical Associates
2.3 mi
Emergency Medicine
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 155 clinicians in this Medicare group
NPI 1134110661 (415) 244-2886
Permanente Medical Group Inc
2.7 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
130 services120 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
118 services114 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
59 services59 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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

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

DANIEL JOHN REPPLINGER M.D.
Emergency Medicine
1001 POTRERO AVE RM 1E21
SAN FRANCISCO, CA 94110
San Francisco County (608) 217-2497

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 Samuel Wagner's NPI number?

The NPI number for Samuel Wagner is 1083148936. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Samuel Wagner located?

Samuel Wagner practices at 1001 Potrero Ave Rm 1e21, San Francisco, CA 94110. The listed phone number is (628) 206-5753.

What is Samuel Wagner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samuel Wagner enrolled in Medicare?

Yes. Samuel Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wagner reassigns Medicare benefits to 3 organizations: University Of California Sfgh Medical Group (San Francisco, CA), San Francisco Emergency Medical Associates (San Francisco, CA) and Permanente Medical Group Inc (San Francisco, CA). 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 Samuel 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 Samuel Wagner was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.