JAMES M WAGNER D.C.
NPI 1083791818
Chiropractor - Sports Physician in Annapolis, MD

Q: What is James Wagner's NPI number?

The NPI number for James Wagner is 1083791818. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is James Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Wagner was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 01, 2006PECOS Enrolled

107 RIDGELY AVE, STE. 11, ANNAPOLIS, MD 21401(410) 267-0033(410) 267-0667 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James M Wagner D.c. NPPES

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

JAMES M WAGNER D.C. (NPI 1083791818) is an individual sports physician in Annapolis, Maryland, licensed in Maryland (1457/PT) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Life Chiropractic College (1988).

NPPES Registry Identity

NPI1083791818

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameJAMES M WAGNERCredential: D.C.

Location Address107 RIDGELY AVE, STE. 11Annapolis, MD 21401-1417

Mailing Address107 Ridgely Ave, Ste. 11Annapolis, MD 21401-1417 · (410) 267-0033 · Fax (410) 267-0667

Phone(410) 267-0033

Fax(410) 267-0667

Sole ProprietorYes

Medical School CMSLife Chiropractic CollegeGraduated 1988

Enumeration DateNovember 1, 2006

Last NPPES UpdateJanuary 8, 2013

✔ NPI 1083791818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in MD · 1457/PT

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.

107 RIDGELY AVE, Annapolis, MD 21401

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Other Identifiers 4

OtherW2090001MD · Bcbs Fep

OtherM155MD · Bcbs

Medicare UPINU61465MD

Medicare ID-Type Unspecified335QMD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James M Wagner D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951561257

PECOS Enrollment IDI20120323000534

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 Reassignment

Medicare enrollment records show James Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Annapolis Back & Neck Center, LLC

1.8 mi

Sports Physician

914 BAY RIDGE RD STE 150
Annapolis, MD 21403

Reassigned Medicare billing, Maryland enrollment

NPI 1164796181 (410) 267-0033

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

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, 5 spinal regions 98942

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.

160 services16 patients

Other Providers at the Same Location NPPES 5

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

JON HOLTZMAN CHIROPRACTIC, P.C.

Chiropractor

107 RIDGELY AVE, SUITE 11
ANNAPOLIS, MD 21401

Anne Arundel County (410) 267-6701

DR. JONATHAN R. HOLTZMAN D.C.

Chiropractor

107 RIDGELY AVE, SUITE 11
ANNAPOLIS, MD 21401

Anne Arundel County (410) 267-6701

DR. MARIE HINMAN BRIGHAM MD

Ophthalmology

107 RIDGELY AVE, SUITE 10
ANNAPOLIS, MD 21401

Anne Arundel County (410) 268-6464

JEFFREY MARLOWE KUCINE DO

Family Medicine

107 RIDGELY AVE, SUITE 14C
ANNAPOLIS, MD 21401

Anne Arundel County (410) 263-3313

BETH CUNNINGHAM, M.D., P.C.

Ophthalmology

107 RIDGELY AVE, SUITE 10
ANNAPOLIS, MD 21401

Anne Arundel County (410) 598-0853

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 James Wagner's NPI number?

The NPI number for James Wagner is 1083791818. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is James Wagner located?

James Wagner practices at 107 Ridgely Ave Ste. 11, Annapolis, MD 21401. The listed phone number is (410) 267-0033.

What is James Wagner's specialty?

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

Is James Wagner enrolled in Medicare?

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

Which organization bills Medicare for James Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Wagner reassigns Medicare benefits to Annapolis Back & Neck Center, LLC (Annapolis, MD). The 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 James 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 James Wagner was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.