DR. MATTHEW ROBERT WAGNER MD
NPI 1114198751
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Port Jefferson Station, NY
NPI Status: Active since March 21, 2008
Contact Information
1500 ROUTE 112 BLDG 2C
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 371-8034
Fax: (631) 828-7899
- Individual
- Male
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
- PECOS Enrolled
About MATTHEW WAGNER
This page provides the complete NPI Profile along with additional information for Matthew Wagner, a provider established in Port Jefferson Station, New York with a medical specialization in Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1114198751 assigned on March 2008. The practitioner's primary taxonomy code is 207XP3100X with license number 251727 (NY). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1114198751
- Provider Name
- DR. MATTHEW ROBERT WAGNER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 ROUTE 112 BLDG 2C PORT JEFFERSON STATION, NY 11776
- Location Phone
- (631) 371-8034
- Location Fax
- (631) 828-7899
- Mailing Address
- 1500 ROUTE 112 BLDG 2C PORT JEFFERSON STATION, NY 11776
- Mailing Phone
- (631) 371-8034
- Mailing Fax
- (631) 828-7899
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-21-2008
- Last Update Date
- 11-05-2019
- Code Navigator
Location Map
Secondary Locations
- 500 Commack Rd Unit 150
Commack, NY 11725
(631) 371-8034
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 251727
- License State
- NY
- Taxonomy Description
- An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XP3100X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | ME103612 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120130521000407 | OTHER (01) | NY | MEDICARE |
Medicare Participation & PECOS Enrollment Status
Matthew Wagner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114198751, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114198751, enumerated as an "individual" on March 21, 2008.
The provider is located at 1500 ROUTE 112 BLDG 2C PORT JEFFERSON STATION, NY 11776 and the phone number is (631) 371-8034.
Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
