DR. KARL THOMAS WAGNER JR. MD
NPI 1093716573
Orthopaedic Surgery in Goshen, IN

Q: What is Karl Wagner's NPI number?

The NPI number for Karl Wagner is 1093716573. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Karl Wagner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: Is Karl Wagner enrolled in Medicare?

No. Karl Wagner has opted out of Medicare through October 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Karl Wagner was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 09, 2005Opted out of Medicare · through Oct 21, 2027

1824 DORCHESTER CT, SUITE A, GOSHEN, IN 46526(574) 534-2548(574) 534-3622 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Karl Thomas Wagner Jr. Md NPPES

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

DR. KARL THOMAS WAGNER JR. MD (NPI 1093716573) is an individual orthopaedic surgery provider in Goshen, Indiana, licensed in Indiana (01062265A) and active in the NPI registry since August 2005. He has opted out of Medicare through October 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093716573

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. KARL THOMAS WAGNER JR.Credential: MD

Location Address1824 DORCHESTER CT, SUITE AGoshen, IN 46526-6819

Mailing Address1824 Dorchester Ct, Suite AGoshen, IN 46526-6819 · (574) 534-2548 · Fax (574) 534-3622

Phone(574) 534-2548

Fax(574) 534-3622

Sole ProprietorNo

Enumeration DateAugust 9, 2005

Last NPPES UpdateSeptember 8, 2011

✔ NPI 1093716573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IN · 01062265A

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1824 DORCHESTER CT, Goshen, IN 46526

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Other Identifiers 3

Other000000491386IN · Anthem

Medicare UPIND78628

Medicaid200826680IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Karl Thomas Wagner Jr. Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 21, 2015 through October 21, 2027.

Opt-Out Effective DateOctober 21, 2015

Opt-Out In Effect ThroughOctober 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 7

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

ERIC BROWN FNP-C

Nurse Practitioner (Family)