DR. STEPHEN P WAGNER M.D.
NPI 1255443412
Ophthalmology in Monroe, WI

Q: What is Stephen Wagner's NPI number?

The NPI number for Stephen Wagner is 1255443412. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Stephen Wagner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Wagner was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

515 22ND AVE, MONROE, WI 53566(608) 324-2000(262) 763-7002 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2020, Apr 30, 2018 (2 updates tracked since 2018).

On this page

About Dr. Stephen P Wagner M.d. NPPES

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

DR. STEPHEN P WAGNER M.D. (NPI 1255443412) is an individual ophthalmology provider in Monroe, Wisconsin, licensed in Wisconsin (41625) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of University Of Wisconsin School Of Medicine (1998).

NPPES Registry Identity

NPI1255443412

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. STEPHEN P WAGNERCredential: M.D.

Location Address515 22ND AVEMonroe, WI 53566-1569

Mailing Address515 22nd AveMonroe, WI 53566-1569 · (608) 324-2000 · Fax (262) 763-7002

Phone(608) 324-2000

Fax(262) 763-7002

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1998

Enumeration DateAugust 31, 2006

Last NPPES UpdateMay 2, 20252 updates tracked since enumeration

NPPES CertifiedMay 2, 2025

✔ NPI 1255443412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in WI · 41625✔ Licensed in IL · 036145288✔ Licensed in WI · 41625020

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

515 22ND AVE, Monroe, WI 53566

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Other Identifiers 2

Medicaid34215000WI

OtherOI023258048NY · New York

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Stephen P 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 ID3971713009

PECOS Enrollment IDI20101103000021, I20180518000005

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 22

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

561 services204 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

411 services80 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

391 services355 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.

379 services248 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.

251 services202 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

242 services204 patients

Injection of drug into eye 67028

237 services41 patients

Imaging of retina 92134

232 services68 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

185 services179 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

170 services59 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

97 services53 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

79 services79 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

67 services66 patients

Established patient complete exam of visual system 92014

59 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

51 services48 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

37 services37 patients

Exam of visual field with extended testing 92083

24 services21 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

20 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Imaging of optic nerve 92133

15 services15 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

11 services11 patients

Hospital Affiliations CMS Care Compare

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520028

Location515 22nd AveMonroe, WI 53566 · Green County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53566 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers12 claims12 services$42.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NICOLE LYN CARRICO PHARM.D.

Pharmacist (Pharmacotherapy)

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-1242

SUZANNE MARIE CURTISS FNP-BC

Nurse Practitioner (Family)

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2600

DR. MATTHEW M MICHALSKI MD

Emergency Medicine

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2000

ANNA METZ PHARM.D.

Pharmacist

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-1242

MICHAEL ROESCH

Family Medicine

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2000

LINDSEY HOULE DNP, PMHNP-BC

Nurse Practitioner

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2000

MOHAMMAD SALEEM

Internal Medicine (Cardiovascular Disease)

515 22ND AVE
MONROE, WI 53566

Green County (608) 324-2000

NATALIE L. SEIBERT P.A.

Physician Assistant

515 22ND AVE, MONROE CLINIC
MONROE, WI 53566

Green County (608) 324-2222

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 Stephen Wagner's NPI number?

The NPI number for Stephen Wagner is 1255443412. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Stephen Wagner located?

Stephen Wagner practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-2000.

What is Stephen Wagner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Stephen Wagner enrolled in Medicare?

Yes. Stephen 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 Stephen Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Stephen 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.

Is Stephen Wagner affiliated with any hospitals?

According to CMS data, Stephen Wagner is affiliated with The Monroe Clinic.

When was this NPI record last updated?

The NPPES record for Stephen Wagner was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.