ZACHARY WAGNER DO
NPI 1184282188
Family Medicine in Fairfield, CA

Active since June 04, 2019PECOS Enrolled
101 BODIN CIR, FAIRFIELD, CA 94535(707) 424-1110 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2022, Mar 3, 2020, Jun 4, 2019 (3 updates tracked since 2019).

About Zachary Wagner Do NPPES

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

ZACHARY WAGNER DO (NPI 1184282188) is an individual family medicine provider in Fairfield, California, licensed in California (20A19527) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184282188
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameZACHARY WAGNERCredential: DO
Location Address101 BODIN CIRFairfield, CA 94535-1809
Mailing Address101 Bodin CirFairfield, CA 94535-1809 · (707) 423-3100
Sole ProprietorNo
Enumeration DateJune 4, 2019
Last NPPES UpdateSeptember 9, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
NPI 1184282188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A19527
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 BODIN CIR, Fairfield, CA 94535

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Zachary Wagner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535

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 Zachary Wagner's NPI number?

The NPI number for Zachary Wagner is 1184282188. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Zachary Wagner located?

Zachary Wagner practices at 101 Bodin Cir, Fairfield, CA 94535. The listed phone number is (707) 424-1110.

What is Zachary Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Zachary Wagner enrolled in Medicare?

Yes. Zachary Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Wagner was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.