JOHN P WAGNER DO
NPI 1104869080
Family Medicine in Stow, OH
About John P Wagner Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN P WAGNER DO (NPI 1104869080) is an individual family medicine provider in Stow, Ohio, licensed in Ohio (34004138) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John P Wagner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cuyahoga Falls, OH 44224
- Reassigned Medicare billing, Ohio enrollment
- 60 clinicians in this Medicare group
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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Wagner's NPI number?
The NPI number for John Wagner is 1104869080. It was assigned to this individual provider in the NPPES registry on June 14, 2006.
Where is John Wagner located?
John Wagner practices at 4465 Darrow Rd, Stow, OH 44224. The listed phone number is (330) 688-9918.
What is John Wagner's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Wagner enrolled in Medicare?
Yes. John Wagner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Wagner reassigns Medicare benefits to Unity Health Network, LLC (Cuyahoga Falls, OH). 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 John Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Wagner accept?
Health plans from CareSource list John 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 John Wagner was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# John P Wagner, DO · NPI 1104869080
Family Medicine physician in Stow, Ohio. Individual provider, active in the CMS NPPES registry since June 14, 2006.
## Identity
- **NPI:** 1104869080 (Entity type: Individual)
- **Enumerated:** June 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 34004138 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4465 DARROW RD, Stow, OH 44224-1884
- **Phone:** (330) 688-9918 · **Fax:** (330) 688-4718
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Unity Health Network, LLC (NPI 1205169836, Cuyahoga Falls, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2025
- **Other identifiers:** Medicaid 0722427 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1104869080) · Data from the CMS NPPES public registry.