MIHIR S WAGH MD
NPI 1295789345
Internal Medicine - Gastroenterology in Aurora, CO

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, Jul 19, 2023 (2 updates tracked since 2023).

About Mihir S Wagh Md NPPES

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

MIHIR S WAGH MD (NPI 1295789345) is an individual gastroenterology provider in Aurora, Colorado, licensed in Florida (ME99721) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1295789345
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMIHIR S WAGHCredential: MD
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 22, 2006
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
NPI 1295789345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in FL · ME99721 Licensed in IN · 01062201
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
12605 E 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

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

Mihir S Wagh 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 ID8224035506
PECOS Enrollment IDI20071120000614
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 16

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.

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
47 services43 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
45 services41 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
41 services41 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
35 services34 patients
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237
This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.
23 services23 patients
Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276
This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.
20 services13 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
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.

Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045

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 Mihir Wagh's NPI number?

The NPI number for Mihir Wagh is 1295789345. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Mihir Wagh located?

Mihir Wagh practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Mihir Wagh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mihir Wagh enrolled in Medicare?

Yes. Mihir Wagh 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 Mihir Wagh accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Medica and Providence Health Plan list Mihir Wagh 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 Mihir Wagh affiliated with any hospitals?

According to CMS data, Mihir Wagh is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Mihir Wagh was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.