DR. ETHAN E WAGNER DO
NPI 1386643310
Emergency Medicine in Anderson, IN

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2015 JACKSON ST, ANDERSON, IN 46016(765) 646-8439(765) 646-8578 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ethan E Wagner Do NPPES

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

DR. ETHAN E WAGNER DO (NPI 1386643310) is an individual emergency medicine provider in Anderson, Indiana, licensed in Indiana (02002898A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2002).

NPPES Registry Identity

NPI1386643310
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ETHAN E WAGNERCredential: DO
Location Address2015 JACKSON STAnderson, IN 46016-4337
Mailing Address2015 Jackson StAnderson, IN 46016-4337 · (765) 646-8439 · Fax (765) 646-8578
Fax(765) 646-8578
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2002
Enumeration DateJuly 20, 2005
Last NPPES UpdateOctober 10, 2007
NPI 1386643310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 02002898A
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2015 JACKSON ST, Anderson, IN 46016

Other Identifiers 3

Other000000514519IN · Blue Cross /anthem
Medicare UPINI02585IN
Medicare PIN197620ZIN

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. Ethan E 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 ID9234128240
PECOS Enrollment IDI20050601000860
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
180 services170 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
88 services86 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services84 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.
32 services31 patients

Hospital Affiliations CMS Care Compare

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

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46016 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
2015 JACKSON ST
ANDERSON, IN 46016
Dietitian, Registered
2015 JACKSON ST
ANDERSON, IN 46016
Internal Medicine
2015 JACKSON ST
ANDERSON, IN 46016
Physician Assistant
2015 JACKSON ST
ANDERSON, IN 46016
Occupational Therapist
2015 JACKSON ST
ANDERSON, IN 46016
Emergency Medicine (Emergency Medical Services)
2015 JACKSON ST
ANDERSON, IN 46016
Dietitian, Registered
2015 JACKSON ST
ANDERSON, IN 46016
Emergency Medicine
2015 JACKSON ST
ANDERSON, IN 46016

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 Ethan Wagner's NPI number?

The NPI number for Ethan Wagner is 1386643310. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Ethan Wagner located?

Ethan Wagner practices at 2015 Jackson St, Anderson, IN 46016. The listed phone number is (765) 646-8439.

What is Ethan Wagner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ethan Wagner enrolled in Medicare?

Yes. Ethan 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 Ethan Wagner accept?

Health plans from CareSource list Ethan 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 Ethan Wagner affiliated with any hospitals?

According to CMS data, Ethan Wagner is affiliated with Riverview Health.

When was this NPI record last updated?

The NPPES record for Ethan Wagner was last updated on October 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.