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DR. JACOB LEWIS WAGNER DO
NPI 1356922959
Radiology - Diagnostic Radiology in Durham, NC

Active since April 16, 2021PECOS EnrolledAccepts Medicare Assignment
2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2021, Apr 16, 2021 (2 updates tracked since 2021).

About Dr. Jacob Lewis Wagner Do NPPES

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

DR. JACOB LEWIS WAGNER DO (NPI 1356922959) is an individual diagnostic radiology provider in Durham, North Carolina, licensed in North Carolina (2025-04156) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2021).

NPPES Registry Identity

NPI1356922959
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JACOB LEWIS WAGNERCredential: DO
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing AddressPo Box 63362Charlotte, NC 28263-3362 · (919) 684-8111
Phone(919) 684-8111
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2021
Enumeration DateApril 16, 2021
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1356922959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NC · 2025-04156
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2301 ERWIN RD, Durham, NC 27705
Open in Google Maps ↗

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. Jacob Lewis Wagner Do 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 ID5698176287
PECOS Enrollment IDI20260526002724
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 Jacob Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke University Health System, Inc.
0.1 mi
Social Worker
2213 ELBA ST
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1376574798 (North Carolina)
  • 1,503 clinicians in this Medicare group
NPI 1497912232 (919) 684-0100
Duke Health Integrated Practice, Inc.
0.3 mi
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855

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

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

DR. HONGYUN JUNE ZHU M.D.
Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
WILBUR RIGEL DATTILO M.D.
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. SHARON MCCARTNEY M.D.
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 681-3811
DR. JOEL GARRY MORASH M.D.
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
REBEKAH DOIRON
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. YURIY ZEYLIKMAN M.D.
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
ELIZABETH HOPE WEISSLER
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. ANGEL GUERRERO MD
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111

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 Jacob Wagner's NPI number?

The NPI number for Jacob Wagner is 1356922959. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Jacob Wagner located?

Jacob Wagner practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is Jacob Wagner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jacob Wagner enrolled in Medicare?

Yes. Jacob 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.

Which organizations bill Medicare for Jacob Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Wagner reassigns Medicare benefits to 2 organizations: Duke University Health System, Inc. (Durham, NC) and Duke Health Integrated Practice, Inc. (Durham, NC). 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 Jacob Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacob Wagner affiliated with any hospitals?

According to CMS data, Jacob Wagner is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Wagner was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.