RYAN J WAGNER
NPI 1275087207
Emergency Medicine - Sports Medicine in Appleton, WI

Active since August 08, 2016PECOS EnrolledAccepts Medicare Assignment
2400 E CAPITOL DR, APPLETON, WI 54911(920) 454-3300(920) 531-2098 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2023, Jun 4, 2023, Nov 17, 2020 and 2 more (5 updates tracked since 2016).

About Ryan J Wagner NPPES

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

RYAN J WAGNER (NPI 1275087207) is an individual sports medicine provider in Appleton, Wisconsin, licensed in Wisconsin (68001) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1275087207
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameRYAN J WAGNER
Location Address2400 E CAPITOL DRAppleton, WI 54911-8728
Mailing Address2400 E Capitol DrAppleton, WI 54911-8728 · (920) 831-5050
Fax(920) 531-2098
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2014
Enumeration DateAugust 8, 2016
Last NPPES UpdateFebruary 29, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
NPI 1275087207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License Licensed in WI · 68001
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 68001 (WI)
2400 E CAPITOL DR, Appleton, WI 54911

Secondary Practice Location 1

Location 1721 E Meadow Grove BlvdAppleton, WI 54915-4509 · Phone (920) 585-2839

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

Ryan J 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 ID547558041
PECOS Enrollment IDI20180206002309
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 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,266 services167 patients
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,056 services14 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
203 services131 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.
187 services133 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.
149 services100 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.
111 services111 patients

Hospital Affiliations CMS Care Compare 3

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Nurse Practitioner
2400 E CAPITOL DR
APPLETON, WI 54911
Physical Therapist
2400 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner
2400 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner
2400 E CAPITOL DR
APPLETON, WI 54911
Physical Therapist
2400 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner
2400 E CAPITOL DR
APPLETON, WI 54911
Anesthesiology (Pain Medicine)
2400 E CAPITOL DR
APPLETON, WI 54911
Physical Medicine & Rehabilitation
2400 E CAPITOL DR
APPLETON, WI 54911

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 Ryan Wagner's NPI number?

The NPI number for Ryan Wagner is 1275087207. It was assigned to this individual provider in the NPPES registry on August 8, 2016.

Where is Ryan Wagner located?

Ryan Wagner practices at 2400 E Capitol Dr, Appleton, WI 54911. The listed phone number is (920) 454-3300.

What is Ryan Wagner's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Ryan Wagner enrolled in Medicare?

Yes. Ryan 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 Ryan Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 1 other insurer list Ryan 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 Ryan Wagner affiliated with any hospitals?

According to CMS data, Ryan Wagner is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center-Waupaca.

When was this NPI record last updated?

The NPPES record for Ryan Wagner was last updated on February 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.