LEE SHANNON WAGNER M.D.
NPI 1316442361
Family Medicine in Pensacola, FL

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
5100 N 12TH AVE STE 201, PENSACOLA, FL 32504(448) 227-6330(850) 626-9606 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2026, Sep 9, 2025, Jul 7, 2021 and 2 more (5 updates tracked since 2018).

About Lee Shannon Wagner M.d. NPPES

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

LEE SHANNON WAGNER M.D. (NPI 1316442361) is an individual family medicine provider in Pensacola, Florida, licensed in Florida (ME176128) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316442361
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLEE SHANNON WAGNERCredential: M.D.
Location Address5100 N 12TH AVE STE 201Pensacola, FL 32504-8919
Mailing AddressPo Box 95590South Jordan, UT 84095-0590 · (801) 352-9500 · Fax (801) 352-7976
Fax(850) 626-9606
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 29, 2018
Last NPPES UpdateFebruary 2, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1316442361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · ME176128 Licensed in AL · 42864
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.

5100 N 12TH AVE STE 201, Pensacola, FL 32504

Secondary Practice Locations 2

Location 12 Sharpe StreetKingston, PA 18704 · Phone (570) 591-5142 · Fax (570) 552-8958
Location 219140 S 3rd StCitronelle, AL 36522-2306 · Phone (251) 866-0086

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

Lee Shannon 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 ID5597016881
PECOS Enrollment IDI20250918002927
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 8

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.
167 services79 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
57 services51 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
52 services19 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
48 services16 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.
37 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims42 services$5.37 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$28.75 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 8

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

Family Medicine
5100 N 12TH AVE STE 201
PENSACOLA, FL 32504
Family Medicine
5100 N 12TH AVE STE 201
PENSACOLA, FL 32504
Physician Assistant
5100 N 12TH AVE STE 201
PENSACOLA, FL 32504
Family Medicine
5100 N 12TH AVE STE 201
PENSACOLA, FL 32504
Family Medicine
5100 N 12TH AVE STE 201
PENSACOLA, FL 32504
Nurse Practitioner (Primary Care)
5100 N 12TH AVE STE 201
PENSACOLA, FL 32504
Physician Assistant
5100 N 12TH AVE STE 201
PENSACOLA, FL 32504
Physician Assistant
5100 N 12TH AVE STE 201
PENSACOLA, FL 32504

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 Lee Wagner's NPI number?

The NPI number for Lee Wagner is 1316442361. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Lee Wagner located?

Lee Wagner practices at 5100 N 12th Ave Ste 201, Pensacola, FL 32504. The listed phone number is (448) 227-6330.

What is Lee Wagner's specialty?

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

Is Lee Wagner enrolled in Medicare?

Yes. Lee 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 Lee Wagner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 7 other insurers list Lee 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 Lee Wagner affiliated with any hospitals?

According to CMS data, Lee Wagner is affiliated with Baptist Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Lee Wagner was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.