1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Internal Medicine
  6. NPI Profile

ANDREW J WAGNER M.D.
NPI 1285671404
Internal Medicine - Hematology & Oncology in Boston, MA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
44 BINNEY STREET, DANA FARBER CANCER INST., BOSTON, MA 02115(617) 632-4899(617) 632-3408 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew J Wagner M.d. NPPES

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

ANDREW J WAGNER M.D. (NPI 1285671404) is an individual hematology & oncology provider in Boston, Massachusetts, licensed in Massachusetts (159908) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1997).

NPPES Registry Identity

NPI1285671404
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameANDREW J WAGNERCredential: M.D.
Location Address44 BINNEY STREET, DANA FARBER CANCER INST.Boston, MA 02115
Mailing Address44 Binney StBoston, MA 02115-6013 · (617) 632-5204 · Fax (617) 632-3408
Phone(617) 632-4899
Fax(617) 632-3408
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1997
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 13, 2007
✔ NPI 1285671404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MA · 159908
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
44 BINNEY STREET, Boston, MA 02115
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Andrew J 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 ID9931190956
PECOS Enrollment IDI20040519001003
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 3

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.

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.
44 services26 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.
43 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services16 patients

Hospital Affiliations CMS Care Compare

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

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
Promoting Interoperability100
Improvement Activities40

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.

KENDRA LYNNE CHURCH MS PA C
Physician Assistant
44 BINNEY STREET, D1 B30
BOSTON, MA 02115
Suffolk County (617) 525-7486
WILLIAM G KAELIN M.D.
Internal Medicine
44 BINNEY STREET, DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
Suffolk County (617) 632-3975
DAVID JOSEPH KWIATKOWSKI MD
Internal Medicine (Medical Oncology)
44 BINNEY STREET
BOSTON, MA 02115
Suffolk County (617) 632-5320
DANA-FARBER CANCER INSTITUTE, INC.
Durable Medical Equipment & Medical Supplies
44 BINNEY STREET
BOSTON, MA 02115
Suffolk County (617) 632-3000
ARNOLD S FREEDMAN MD
Internal Medicine (Medical Oncology)
44 BINNEY STREET, ROOM D1B30 DFCI DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
Suffolk County (617) 632-4894
MASSIMO F LODA MD
Pathology (Clinical Pathology/Laboratory Medicine)
44 BINNEY STREET, DANA FARBER CANCER INSTITUTE DEPT OF PATHOLOGY
BOSTON, MA 02115
Suffolk County (617) 632-4705
MS. JENNIFER NICOLE STARR P.A.
Physician Assistant (Medical)
44 BINNEY STREET, DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
Suffolk County (617) 823-6285
DR. IRIS TANCHI CHAN MD PHD
Internal Medicine (Medical Oncology)
44 BINNEY STREET, SUITE D1 B30
BOSTON, MA 02115
Suffolk County (617) 632-6922

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 Andrew Wagner's NPI number?

The NPI number for Andrew Wagner is 1285671404. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Andrew Wagner located?

Andrew Wagner practices at 44 Binney Street Dana Farber Cancer Inst., Boston, MA 02115. The listed phone number is (617) 632-4899.

What is Andrew Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Andrew Wagner enrolled in Medicare?

Yes. Andrew 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 Andrew Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrew 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 Andrew Wagner affiliated with any hospitals?

According to CMS data, Andrew Wagner is affiliated with Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Wagner was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.