RUSSELL WAGNER MD
NPI 1154365013
Orthopaedic Surgery in Fort Worth, TX

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-7144 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Russell Wagner Md NPPES

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

RUSSELL WAGNER MD (NPI 1154365013) is an individual orthopaedic surgery provider in Fort Worth, Texas, licensed in Texas (H4772) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1987).

NPPES Registry Identity

NPI1154365013
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRUSSELL WAGNERCredential: MD
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing AddressPo Box 99335Fort Worth, TX 76199-0335 · (817) 735-2900 · Fax (817) 735-2902
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1987
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
NPI 1154365013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · H4772
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.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License H4772 (TX)
1500 S MAIN ST, Fort Worth, TX 76104

Secondary Practice Location 1

Location 1855 Montgomery StFort Worth, TX 76107-2553 · Phone (817) 735-2900 · Fax (817) 735-2902

Other Identifiers 3

Other8U1280TX · Bcbs
OtherP00249664TX · Railroad Medicare Pin
Medicaid123495705TX

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

Russell Wagner Md 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 ID4880628445
PECOS Enrollment IDI20050922000793
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 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.
36 services32 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
25 services23 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
24 services18 patients
Knee replacement NAN06
A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
0 services47 patients
Hip replacement NAN09
A hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.
0 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers13 claims13 services$14.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
1500 S MAIN ST, JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY
FORT WORTH, TX 76104
General Acute Care Hospital
1500 S MAIN ST, PHYSICIAN SERVICES
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FORT WORTH
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY HEALTH CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, DEPT. OF FAMILY MEDICINE
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154365013, enumerated as an "individual" on June 15, 2006.

The provider is located at 1500 S MAIN ST FORT WORTH, TX 76104 and the phone number is (817) 702-7144.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.