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SCOTT FORBES WAGNER MD
NPI 1356801237
Pediatrics in Sterling, MA

Active since March 25, 2019PECOS Enrolled
225 LEOMINSTER RD, STERLING, MA 01564(978) 422-6900(978) 422-7561 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 20, 2026, Jun 3, 2025, Aug 2, 2024 and 1 more (4 updates tracked since 2022).

About Scott Forbes Wagner Md NPPES

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

SCOTT FORBES WAGNER MD (NPI 1356801237) is an individual pediatrics provider in Sterling, Massachusetts, licensed in Massachusetts (292441) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356801237
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSCOTT FORBES WAGNERCredential: MD
Location Address225 LEOMINSTER RDSterling, MA 01564-2148
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 422-6900
Fax(978) 422-7561
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1356801237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 292441
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
225 LEOMINSTER RD, Sterling, MA 01564
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1193 Locust StNorthampton, MA 01060-2056 · Phone (413) 584-8700 · Fax (413) 584-1714
Location 251 Timber LnSouth Burlington, VT 05403-5201 · Phone (802) 865-0521 · Fax (802) 864-6475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Forbes Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113253428
PECOS Enrollment IDI20260128000658
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 Reassignment

Medicare enrollment records show Scott Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc
13 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01564 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

MS. ELIZABETH D MADDEN NP
Nurse Practitioner
225 LEOMINSTER RD
STERLING, MA 01564
Worcester County (978) 422-6900
HAMILTON ORTHODONTICS, PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
225 LEOMINSTER RD
STERLING, MA 01564
Worcester County (978) 422-7400
DR. CARLA FRENCH HAMILTON D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
225 LEOMINSTER RD
STERLING, MA 01564
Worcester County (978) 422-7400
DR. HEATHER E FINLAY-MORREALE M.D.
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564
Worcester County (978) 422-6900
MARIANA AZER M.D.
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564
Worcester County (978) 422-6900
DR. KATHLEEN M CLEARY M.D.
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564
Worcester County (978) 422-6900
MRS. ANNE F JOSEPHS MD
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564
Worcester County (978) 422-6900
DR. RICHARD V MARSEGLIA M.D.
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564
Worcester County (978) 422-6900

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 Scott Wagner's NPI number?

The NPI number for Scott Wagner is 1356801237. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Scott Wagner located?

Scott Wagner practices at 225 Leominster Rd, Sterling, MA 01564. The listed phone number is (978) 422-6900.

What is Scott Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Scott Wagner enrolled in Medicare?

Yes. Scott Wagner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Wagner reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The 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 Scott Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Wagner accept?

Health plans from Taro Health list Scott 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.

When was this NPI record last updated?

The NPPES record for Scott Wagner was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.