DR. RUDOLPH STEVEN WAGNER M.D.
NPI 1366484222
Ophthalmology in Millburn, NJ
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 and is a graduate of Rutgers New Jersey Medical School (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Rudolph Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NJ 07103
- Reassigned Medicare billing, New Jersey enrollment
- 16 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, New Jersey enrollment
- 118 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Rudolph Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rudolph Wagner reassigns Medicare benefits to 3 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Associated Retinal Consultants LLC (Newark, DE). 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 Rudolph Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rudolph Wagner accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers 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.
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.
# Dr. Rudolph Steven Wagner, M.D. · NPI 1366484222
Ophthalmology physician in Millburn, New Jersey. Individual provider, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1366484222 (Entity type: Individual)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 25MA03649700 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 288 MILLBURN AVE, Millburn, NJ 07041-1622
- **Phone:** (973) 912-9199 · **Fax:** (973) 912-0800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Physician Associates Of New Jersey Inc (NPI 1720098320, Newark, NJ); Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Associated Retinal Consultants LLC (NPI 1164578894, Newark, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 1978
## Record status
- **NPPES last updated:** April 21, 2022
- **Other identifiers:** Medicaid 3070107-01 (NJ); Medicaid 3070107 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1366484222) · Data from the CMS NPPES public registry.