1. Home
  2. Directory
  3. Pennsylvania
  4. Allentown
  5. Dermatology
  6. NPI Profile

DR. MARIE SUSAN WAGENER D.O.
NPI 1104054923
Dermatology in Allentown, PA

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
250 CETRONIA RD, SUITE 301, ALLENTOWN, PA 18104(610) 437-2378 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2020, May 29, 2020, Sep 30, 2016 (3 updates tracked since 2016).

About Dr. Marie Susan Wagener D.o. NPPES

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

DR. MARIE SUSAN WAGENER D.O. (NPI 1104054923) is an individual dermatology provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS016478) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1104054923
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. MARIE SUSAN WAGENERCredential: D.O.
Location Address250 CETRONIA RD, SUITE 301Allentown, PA 18104-9147
Mailing Address250 Cetronia Rd, Suite 301Allentown, PA 18104-9147 · (610) 437-2378
Phone(610) 437-2378
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2013
Enumeration DateJuly 1, 2009
Last NPPES UpdateAugust 19, 20203 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1104054923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PA · OS016478
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
250 CETRONIA RD, Allentown, PA 18104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Molina Healthcare 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 and accepts Medicare assignment

Dr. Marie Susan Wagener D.o. 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 ID143467605
PECOS Enrollment IDI20130528000622, I20220907002771
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.

Areas of Expertise CMS Part B claims 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
531 services98 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
464 services320 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
219 services168 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
217 services158 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
173 services147 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
169 services143 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
97%1,947 patients5/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
84%285 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
90%3,711 patients5/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
98%10,823 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%2,167 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%6,250 patients5/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 4,930 patients
Patients screened: 97% · 4,930 patients
91%241 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,308 patients
Patients totalRate: 0% · 2,308 patients
0%2,308 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LAWRENCE E WEISS M.D.
Orthopaedic Surgery (Hand Surgery)
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200
AMY DEVENUTO DPT
Physical Therapist
250 CETRONIA RD, SUITE 210
ALLENTOWN, PA 18104
Lehigh County (610) 674-4911
ANGELA V. FORMAZ MS, ATC
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200
MADHAVI CAPOCCIA D.O.
Family Medicine
250 CETRONIA RD, SUITE 115
ALLENTOWN, PA 18104
Lehigh County (610) 395-0307
MR. ABRAHAM NATHAN GILLESPIE ATC
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200
JENNIFER L STRANZL RD
Dietitian, Registered
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200
SARA SMEY LAT, ATC
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200
MS. EMILY ELIZABETH CANNON ATC,LAT
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200

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 Marie Wagener's NPI number?

The NPI number for Marie Wagener is 1104054923. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Marie Wagener located?

Marie Wagener practices at 250 Cetronia Rd Suite 301, Allentown, PA 18104. The listed phone number is (610) 437-2378.

What is Marie Wagener's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Marie Wagener enrolled in Medicare?

Yes. Marie Wagener 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.

What insurance does Marie Wagener accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Marie Wagener 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 Marie Wagener was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.