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DR. WILLIAM WAGNER M.D.
NPI 1255419511
Family Medicine in Hollywood, FL

Active since November 02, 2006PECOS Enrolled
6214 JOHNSON ST, HOLLYWOOD, FL 33024(954) 967-2500(954) 967-2511 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. William Wagner M.d. NPPES

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

DR. WILLIAM WAGNER M.D. (NPI 1255419511) is an individual family medicine provider in Hollywood, Florida, licensed in Florida (ME50930) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255419511
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM WAGNERCredential: M.D.
Location Address6214 JOHNSON STHollywood, FL 33024-5932
Mailing Address2900 Corporate Way, Mpg Door DMiramar, FL 33025-3925 · (954) 276-5663 · Fax (954) 276-0301
Phone(954) 967-2500
Fax(954) 967-2511
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateApril 22, 2016
✔ NPI 1255419511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME50930
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.
6214 JOHNSON ST, Hollywood, FL 33024
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Other Identifiers 2

Medicaid262317000FL
OtherME50930FL · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William 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 Reassignment

Medicare enrollment records show William Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Broward Hospital District
2.0 mi
Surgical
3501 JOHNSON STREET
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 466 clinicians in this Medicare group
NPI 1285641209 (954) 987-2000

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 33024 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 William Wagner's NPI number?

The NPI number for William Wagner is 1255419511. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is William Wagner located?

William Wagner practices at 6214 Johnson St, Hollywood, FL 33024. The listed phone number is (954) 967-2500.

What is William Wagner's specialty?

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

Is William Wagner enrolled in Medicare?

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

Which organization bills Medicare for William Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Wagner reassigns Medicare benefits to South Broward Hospital District (Hollywood, FL). The 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 William Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Wagner was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.