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DR. ANDREW JAMES WAGNER M.D.
NPI 1215154018
Emergency Medicine in Durango, CO

Active since April 20, 2007PECOS Enrolled
1010 THREE SPRINGS BLVD, DURANGO, CO 81301(970) 247-4311 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2021, Sep 11, 2019 (2 updates tracked since 2019).

About Dr. Andrew James Wagner M.d. NPPES

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

DR. ANDREW JAMES WAGNER M.D. (NPI 1215154018) is an individual emergency medicine provider in Durango, Colorado, licensed in Connecticut (50990) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215154018
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANDREW JAMES WAGNERCredential: M.D.
Location Address1010 THREE SPRINGS BLVDDurango, CO 81301-8296
Mailing Address4535 Dressler Rd NwCanton, OH 44718-2545 · (330) 493-4443 · Fax (330) 493-8677
Phone(970) 247-4311
Sole ProprietorNo
Enumeration DateApril 20, 2007
Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
✔ NPI 1215154018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CT · 50990✔ Licensed in CO · DR.0052737✔ Licensed in OH · 57.012577
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1010 THREE SPRINGS BLVD, Durango, CO 81301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew James 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.

Medicare Billing Reassignments

8

Medicare enrollment records show Andrew Wagner reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usacs Community Emergency Services Of Colorado, Inc.
180 mi
Emergency Medicine
50 BUCK CREEK LANE, SUITE 100
Avon, CO 81620
  • Reassigned Medicare billing, Colorado enrollment
  • 352 clinicians in this Medicare group
NPI 1982239042 (330) 493-4443
True North Health Navigation LLC
233 mi
Emergency Medicine
3825 N LAFAYETTE ST
Denver, CO 80205
  • Reassigned Medicare billing, Colorado, District of Columbia, Oklahoma and Georgia enrollments
  • Also billed through NPI 1164920252 (Oklahoma), NPI 1578047536 (Georgia)
  • 151 clinicians in this Medicare group
NPI 1740622133 (303) 500-1518
Dispatchhealth-Ca, PC
612 mi
Emergency Medicine
140 CENTENNIAL WAY
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 78 clinicians in this Medicare group
NPI 1639752553 (303) 904-7240
Dispatchhealth-Oregon PC
959 mi
Emergency Medicine
8060 SW PFAFFLE ST STE 102
Portland, OR 97223
  • Reassigned Medicare billing, Oregon enrollment
  • 36 clinicians in this Medicare group
NPI 1649822990 (503) 714-8987
Novella Infusion LLC
1,748 mi
Internal Medicine
780 LYNNHAVEN PKWY STE 400
Virginia Beach, VA 23452
NPI 1518746379 (603) 836-9869
Dispatch Health Medical PC
1,819 mi
Emergency Medicine
2 PARKWAY # 1B
Upper Saddle River, NJ 07458
  • Reassigned Medicare billing, New Jersey enrollment
  • 48 clinicians in this Medicare group
NPI 1447716873 (201) 882-7526
Dispatchhealth Massachusetts PC
1,933 mi
Emergency Medicine
567 SOUTHBRIDGE ST STE 10
Auburn, MA 01501
  • Reassigned Medicare billing, Massachusetts enrollment
  • 42 clinicians in this Medicare group
NPI 1629555842 (413) 998-1980
Novella Healthcare Services PLLC
1,956 mi
Internal Medicine
10 DORRANCE ST STE 700
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 9 clinicians in this Medicare group
NPI 1619724481 (802) 397-9366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

RICHARD A BROWN MD
Internal Medicine (Critical Care Medicine)
1010 THREE SPRINGS BLVD, STE 110
DURANGO, CO 81301
La Plata County (970) 764-2750
DR. TRENT W PANSZE MD
Pathology (Anatomic Pathology & Clinical Pathology)
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 164-1170
VITUITY-COLORADO ANESTHESIA SERVICES PC
Anesthesiology
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 247-4311
JAIMIE HOFFMAN RN
Registered Nurse
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 764-1720
DR. CHARLES B MASTERS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 764-1170
HOLLY MUNNIS MEUNIER M.D.
Anesthesiology
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 946-4229
CATHOLIC HEALTH INITIATIVES COLORADO
Surgery
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 247-4311
JONATHAN H DELACEY MD
Radiology (Diagnostic Radiology)
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
La Plata County (970) 764-2286

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 Andrew Wagner's NPI number?

The NPI number for Andrew Wagner is 1215154018. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Andrew Wagner located?

Andrew Wagner practices at 1010 Three Springs Blvd, Durango, CO 81301. The listed phone number is (970) 247-4311.

What is Andrew Wagner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Wagner enrolled in Medicare?

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

Which organizations bill Medicare for Andrew Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Wagner reassigns Medicare benefits to 8 organizations: Usacs Community Emergency Services Of Colorado, Inc. (Avon, CO), True North Health Navigation LLC (Denver, CO), Dispatchhealth-Ca, PC (Tustin, CA), Dispatchhealth-Oregon PC (Portland, OR), Novella Infusion LLC (Virginia Beach, VA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Andrew 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 Andrew Wagner was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.