DR. GREGG A VAGNER M.D.
NPI 1295705986
Surgery - Surgery of the Hand in Austin, TX

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
1301 W 38TH ST STE 102, AUSTIN, TX 78705(512) 454-4561(512) 406-7330 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2021, Mar 5, 2019, Feb 12, 2019 (3 updates tracked since 2019).

About Dr. Gregg A Vagner M.d. NPPES

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

DR. GREGG A VAGNER M.D. (NPI 1295705986) is an individual surgery of the hand provider in Austin, Texas, licensed in Texas (L3168) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1997).

NPPES Registry Identity

NPI1295705986
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameDR. GREGG A VAGNERCredential: M.D.
Location Address1301 W 38TH ST STE 102Austin, TX 78705
Mailing Address6210 E Hwy 290Austin, TX 78723-1142 · (512) 338-3802 · Fax (512) 406-6216
Fax(512) 406-7330
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1997
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJune 14, 20213 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1295705986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License✔ Licensed in TX · L3168
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License L3168 (TX)
1301 W 38TH ST STE 102, Austin, TX 78705

Other Identifiers 3

Medicaid173464202TX
Medicaid173464201TX
Medicaid173464203TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregg A Vagner 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 ID143287482
PECOS Enrollment IDI20050606000881
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregg Vagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
1601 TRINITY ST STOP 704
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
Family Medicine
6210 E US HWY 290, SUITE 420 - CREDENTIALING
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • 461 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.
165 services141 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.
145 services145 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
113 services100 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.
105 services105 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
74 services50 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.
62 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
3 suppliers19 claims19 services$14.63 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 13

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

Family Medicine (Sports Medicine)
1301 W 38TH ST STE 102
AUSTIN, TX 78705
Physician Assistant
1301 W 38TH ST STE 102
AUSTIN, TX 78705
Physician Assistant
1301 W 38TH ST STE 102
AUSTIN, TX 78705
Physician Assistant
1301 W 38TH ST STE 102
AUSTIN, TX 78705
Orthopaedic Surgery
1301 W 38TH ST STE 102
AUSTIN, TX 78705
Orthopaedic Surgery
1301 W 38TH ST STE 102
AUSTIN, TX 78705
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1301 W 38TH ST STE 102
AUSTIN, TX 78705
Physician Assistant
1301 W 38TH ST STE 102
AUSTIN, TX 78705

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 Gregg Vagner's NPI number?

The NPI number for Gregg Vagner is 1295705986. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Gregg Vagner located?

Gregg Vagner practices at 1301 W 38th St Ste 102, Austin, TX 78705. The listed phone number is (512) 454-4561.

What is Gregg Vagner's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Gregg Vagner enrolled in Medicare?

Yes. Gregg Vagner 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.

Which organizations bill Medicare for Gregg Vagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregg Vagner reassigns Medicare benefits to 2 organizations: Seton Family Of Doctors (Austin, TX) and Austin Regional Clinic, PA (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregg Vagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregg Vagner accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Gregg Vagner 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.

When was this NPI record last updated?

The NPPES record for Gregg Vagner was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.