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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CAMERON DAVID WAGNER DO, MBA
NPI 1275238768
Family Medicine in Queen Creek, AZ

Active since April 03, 2023PECOS Enrolled
21805 S ELLSWORTH RD STE 111, QUEEN CREEK, AZ 85142(623) 300-9073 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Dr. Cameron David Wagner Do, Mba NPPES

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

DR. CAMERON DAVID WAGNER DO, MBA (NPI 1275238768) is an individual family medicine provider in Queen Creek, Arizona, licensed in Arizona (012494) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275238768
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CAMERON DAVID WAGNERCredential: DO, MBA
Location Address21805 S ELLSWORTH RD STE 111Queen Creek, AZ 85142-9366
Mailing Address21805 S Ellsworth Rd Ste 111Queen Creek, AZ 85142-9366
Phone(623) 300-9073
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 11, 20262 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
✔ NPI 1275238768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 012494
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.
21805 S ELLSWORTH RD STE 111, Queen Creek, AZ 85142
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cameron David Wagner Do, Mba 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85142 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC DEVELOPMENTAL CONNECTIONS
Pediatrics (Neurodevelopmental Disabilities)
21805 S ELLSWORTH RD STE 111
QUEEN CREEK, AZ 85142
Maricopa County (480) 462-3868
BRANDON WAN DO
Family Medicine
21805 S ELLSWORTH RD STE 111
QUEEN CREEK, AZ 85142
Maricopa County (623) 300-9073
HONORHEALTH MEDICAL GROUP, LLC
Family Medicine
21805 S ELLSWORTH RD STE 111
QUEEN CREEK, AZ 85142
Maricopa County (623) 580-5800

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 Cameron Wagner's NPI number?

The NPI number for Cameron Wagner is 1275238768. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Cameron Wagner located?

Cameron Wagner practices at 21805 S Ellsworth Rd Ste 111, Queen Creek, AZ 85142. The listed phone number is (623) 300-9073.

What is Cameron Wagner's specialty?

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

Is Cameron Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cameron Wagner was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.