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DIANE WAGNER M.D.
NPI 1194812164
Pathology - Medical Microbiology in Islip, NY

Active since October 09, 2006PECOS Enrolled

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diane Wagner M.d. NPPES

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

DIANE WAGNER M.D. (NPI 1194812164) is an individual medical microbiology provider in Islip, New York, licensed in New York (182713) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194812164
Entity TypeIndividualFemale
Primary Taxonomy207ZM0300X
Provider Legal NameDIANE WAGNERCredential: M.D.
Location Address43 SHEBAR DRIslip, NY 11751-4409
Mailing Address43 Shebar DrIslip, NY 11751-4409 · (631) 581-1119
Phone(631) 581-1119
Sole ProprietorYes
Enumeration DateOctober 9, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1194812164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPathology · Medical MicrobiologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZM0300X
License✔ Licensed in NY · 182713
Definition
A medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi, as well as parasites, are identified and, where possible, tested for susceptibility to appropriate antimicrobial agents.
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License 182713 (NY)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 182713 (NY)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 182713 (NY)
43 SHEBAR DR, Islip, NY 11751
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Wagner M.d. 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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
79 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
38 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
29 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11751 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Diane Wagner's NPI number?

The NPI number for Diane Wagner is 1194812164. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Diane Wagner located?

Diane Wagner practices at 43 Shebar Dr, Islip, NY 11751. The listed phone number is (631) 581-1119.

What is Diane Wagner's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Medical Microbiology, with taxonomy code 207ZM0300X.

Is Diane Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Diane Wagner was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.