DR. RUDOLPH STEVEN WAGNER M.D.
NPI 1366484222
Ophthalmology in Millburn, NJ

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
90.91/100
CMS Quality Rating
288 MILLBURN AVE, MILLBURN, NJ 07041(973) 912-9199(973) 912-0800 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Jan 25, 2022 (2 updates tracked since 2022).

About Dr. Rudolph Steven Wagner M.d. NPPES

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

DR. RUDOLPH STEVEN WAGNER M.D. (NPI 1366484222) is an individual ophthalmology provider in Millburn, New Jersey, licensed in New Jersey (25MA03649700) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Rutgers New Jersey Medical School (1978).

NPPES Registry Identity

NPI1366484222
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RUDOLPH STEVEN WAGNERCredential: M.D.
Location Address288 MILLBURN AVEMillburn, NJ 07041-1622
Mailing Address288 Millburn AveMillburn, NJ 07041-1622 · (973) 912-9199 · Fax (973) 912-0800
Fax(973) 912-0800
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1978
Enumeration DateJune 12, 2006
Last NPPES UpdateApril 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
NPI 1366484222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA03649700
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.
288 MILLBURN AVE, Millburn, NJ 07041

Other Identifiers 2

Medicaid3070107-01NJ
Medicaid3070107NJ

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

Dr. Rudolph Steven 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 ID7618031741
PECOS Enrollment IDI20090204000063
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 2

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
24 services17 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
20 services13 patients

Hospital Affiliations CMS Care Compare

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07041 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

90.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.43
Improvement Activities40
Cost70.77

Other Providers at the Same Location NPPES 4

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

Durable Medical Equipment & Medical Supplies
288 MILLBURN AVE
MILLBURN, NJ 07041
Ophthalmology
288 MILLBURN AVE
MILLBURN, NJ 07041
Optometrist
288 MILLBURN AVE
MILLBURN, NJ 07041
Ophthalmology
288 MILLBURN AVE
MILLBURN, NJ 07041

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 Rudolph Wagner's NPI number?

The NPI number for Rudolph Wagner is 1366484222. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Rudolph Wagner located?

Rudolph Wagner practices at 288 Millburn Ave, Millburn, NJ 07041. The listed phone number is (973) 912-9199.

What is Rudolph Wagner's specialty?

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

Is Rudolph Wagner enrolled in Medicare?

Yes. Rudolph 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 Rudolph Wagner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Rudolph 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 Rudolph Wagner affiliated with any hospitals?

According to CMS data, Rudolph Wagner is affiliated with Clara Maass Medical Center.

When was this NPI record last updated?

The NPPES record for Rudolph Wagner was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.