ALAN LEWIS WAGNER MD
NPI 1295719631
Ophthalmology in Norfolk, VA

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
79.91/100
CMS Quality Rating
6160 KEMPSVILLE CIR STE 120B, NORFOLK, VA 23502(757) 481-4400(757) 481-1285 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alan Lewis Wagner Md NPPES

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

ALAN LEWIS WAGNER MD (NPI 1295719631) is an individual ophthalmology provider in Norfolk, Virginia, licensed in Virginia (0101039260) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Virginia Beach General Hospital, and is a graduate of Vanderbilt University School Of Medicine (1978).

NPPES Registry Identity

NPI1295719631
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameALAN LEWIS WAGNERCredential: MD
Location Address6160 KEMPSVILLE CIR STE 120BNorfolk, VA 23502-3933
Mailing Address6160 Kempsville Cir Ste 250bNorfolk, VA 23502-3933 · (757) 481-4400 · Fax (757) 481-1285
Fax(757) 481-1285
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1978
Enumeration DateNovember 30, 2005
Last NPPES UpdateAugust 13, 2019
NPI 1295719631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VA · 0101039260
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 0101039260 (VA)
6160 KEMPSVILLE CIR STE 120B, Norfolk, VA 23502

Other Identifiers 4

Other202826VA · Cigna
Medicaid006396097VA
Other044061VA · Anthem
Other27210VA · Optima

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

Alan Lewis Wagner Md 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 ID9638270275
PECOS Enrollment IDI20100115000521, I20150423000144
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 18

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
19,800 services137 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
4,181 services2,157 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
3,742 services1,954 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
2,693 services1,158 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,132 services498 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
1,425 services590 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

79.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost33.04

Other Providers at the Same Location NPPES 7

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

Ophthalmology
6160 KEMPSVILLE CIR STE 120B
NORFOLK, VA 23502
Ophthalmology
6160 KEMPSVILLE CIR STE 120B
NORFOLK, VA 23502
Ophthalmology (Glaucoma Specialist)
6160 KEMPSVILLE CIR STE 120B
NORFOLK, VA 23502
Ophthalmology (Retina Specialist)
6160 KEMPSVILLE CIR STE 120B
NORFOLK, VA 23502
Physician Assistant
6160 KEMPSVILLE CIR STE 120B
NORFOLK, VA 23502
Specialist
6160 KEMPSVILLE CIR STE 120B
NORFOLK, VA 23502
Specialist (Research Study)
6160 KEMPSVILLE CIR STE 120B
NORFOLK, VA 23502

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 Alan Wagner's NPI number?

The NPI number for Alan Wagner is 1295719631. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Alan Wagner located?

Alan Wagner practices at 6160 Kempsville Cir Ste 120B, Norfolk, VA 23502. The listed phone number is (757) 481-4400.

What is Alan Wagner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alan Wagner enrolled in Medicare?

Yes. Alan 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 Alan Wagner accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Alan 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 Alan Wagner affiliated with any hospitals?

According to CMS data, Alan Wagner is affiliated with Sentara Virginia Beach General Hospital and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Alan Wagner was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.