JON DAGLEY WAGNER MD DDS
NPI 1154338101
Dentist - Oral and Maxillofacial Surgery in Albuquerque, NM
About Jon Dagley Wagner Md Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JON DAGLEY WAGNER MD DDS (NPI 1154338101) is an individual oral and maxillofacial surgery provider in Albuquerque, New Mexico, licensed in New Mexico (DD3842) and active in the NPI registry since August 2006. He has opted out of Medicare through July 23, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jon Dagley Wagner Md Dds 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 July 23, 2019 through July 23, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ALBUQUERQUE, NM 87114
ALBUQUERQUE, NM 87114
ALBUQUERQUE, NM 87114
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 Jon Wagner's NPI number?
The NPI number for Jon Wagner is 1154338101. It was assigned to this individual provider in the NPPES registry on August 2, 2006.
Where is Jon Wagner located?
Jon Wagner practices at 10000 Coors Byp NW Suite G-218, Albuquerque, NM 87114. The listed phone number is (505) 242-4867.
What is Jon Wagner's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Jon Wagner enrolled in Medicare?
No. Jon Wagner has opted out of Medicare through July 23, 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.
What insurance does Jon Wagner accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jon 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 Jon Wagner was last updated on April 4, 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.
# Jon Dagley Wagner, MD DDS · NPI 1154338101
Oral and Maxillofacial Surgery provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1154338101 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DD3842 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 10000 COORS BYP NW, SUITE G-218, Albuquerque, NM 87114-4040
- **Phone:** (505) 242-4867
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 23, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 4, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1154338101) · Data from the CMS NPPES public registry.