DR. DENNIS E WAGNER ED.D.
NPI 1184649402
Psychologist - Clinical in Louisville, KY

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
1169 EASTERN PKWY STE 2238, LOUISVILLE, KY 40217(502) 718-9114(502) 479-3561 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017, Aug 4, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Dennis E Wagner Ed.d. NPPES

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

DR. DENNIS E WAGNER ED.D. (NPI 1184649402) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (128987) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1184649402
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DENNIS E WAGNERCredential: ED.D.
Location Address1169 EASTERN PKWY STE 2238Louisville, KY 40217-1444
Mailing Address1806 Richmond DrLouisville, KY 40205-1410 · (502) 718-9114 · Fax (502) 479-3561
Fax(502) 479-3561
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1184649402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in KY · 128987 Licensed in KY · 0810
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1169 EASTERN PKWY STE 2238, Louisville, KY 40217

Other Identifiers 3

Other000000501117KY · Anthem
OtherK113410KY · Medicare
Medicaid89008106KY

Accepted Insurance

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

Dr. Dennis E Wagner Ed.d. 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 ID1254329279
PECOS Enrollment IDI20040506000093
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

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
128 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Neuropsychologist
1169 EASTERN PKWY STE 2238
LOUISVILLE, KY 40217
Clinical Neuropsychologist
1169 EASTERN PKWY STE 2238
LOUISVILLE, KY 40217

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 Dennis Wagner's NPI number?

The NPI number for Dennis Wagner is 1184649402. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Dennis Wagner located?

Dennis Wagner practices at 1169 Eastern Pkwy Ste 2238, Louisville, KY 40217. The listed phone number is (502) 718-9114.

What is Dennis Wagner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dennis Wagner enrolled in Medicare?

Yes. Dennis Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dennis Wagner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Providence Health Plan list Dennis 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 Dennis Wagner was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.