GREGORY VAN WAGNER
NPI 1255838959
Emergency Medicine in Philadelphia, PA

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107(215) 955-9837 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2021, Apr 9, 2018 (2 updates tracked since 2018).

About Gregory Van Wagner NPPES

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

GREGORY VAN WAGNER (NPI 1255838959) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Alabama (MD.4237) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2018).

NPPES Registry Identity

NPI1255838959
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGREGORY VAN WAGNER
Location Address1020 SANSOM ST STE 1651BPhiladelphia, PA 19107-5002
Mailing Address1020 Sansom St Ste 1651bPhiladelphia, PA 19107-5002 · (215) 955-9837
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
NPI 1255838959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in AL · MD.4237
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.

1020 SANSOM ST STE 1651B, Philadelphia, PA 19107

Accepted 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

Gregory Van Wagner 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 ID7618223082
PECOS Enrollment IDI20210621002086
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
227 services222 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
119 services118 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
90 services89 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255838959, enumerated as an "individual" on April 09, 2018.

The provider is located at 1020 SANSOM ST STE 1651B PHILADELPHIA, PA 19107 and the phone number is (215) 955-9837.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to verify.