DR. MICHAEL SEAN WAGNER M.D.
NPI 1235385824
Hospitalist in Greenville, SC

Active since August 14, 2008PECOS EnrolledAccepts Medicare Assignment
701 GROVE RD FL 5, GREENVILLE, SC 29605(864) 455-4411(864) 455-4480 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2019, Jul 30, 2018, Mar 21, 2018 (3 updates tracked since 2018).

About Dr. Michael Sean Wagner M.d. NPPES

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

DR. MICHAEL SEAN WAGNER M.D. (NPI 1235385824) is an individual hospitalist provider in Greenville, South Carolina, licensed in South Carolina (36838) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and is a graduate of Eastern Virginia Medical School (2008).

NPPES Registry Identity

NPI1235385824
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MICHAEL SEAN WAGNERCredential: M.D.
Location Address701 GROVE RD FL 5Greenville, SC 29605
Mailing Address1 Independence Pt Ste 212Greenville, SC 29615-4536
Fax(864) 455-4480
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2008
Enumeration DateAugust 14, 2008
Last NPPES UpdateMay 20, 20193 updates tracked since enumeration
NPI 1235385824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in SC · 36838
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 36838 (SC)
701 GROVE RD FL 5, Greenville, SC 29605

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. Michael Sean Wagner M.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 ID6800013913
PECOS Enrollment IDI20140814000226
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
200 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 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.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Physician Assistant
701 GROVE RD FL 5
GREENVILLE, SC 29605
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Nurse Practitioner (Acute Care)
701 GROVE RD FL 5
GREENVILLE, SC 29605
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605
Hospitalist
701 GROVE RD FL 5
GREENVILLE, SC 29605

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 Michael Wagner's NPI number?

The NPI number for Michael Wagner is 1235385824. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Where is Michael Wagner located?

Michael Wagner practices at 701 Grove Rd Fl 5, Greenville, SC 29605. The listed phone number is (864) 455-4411.

What is Michael Wagner's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Michael Wagner enrolled in Medicare?

Yes. Michael 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.

Is Michael Wagner affiliated with any hospitals?

According to CMS data, Michael Wagner is affiliated with Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Wagner was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.