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MR. WILLIAM WAGNER PA-C
NPI 1407684400
Physician Assistant in New York, NY

Active since July 23, 2024PECOS EnrolledAccepts Medicare Assignment
5141 BROADWAY, NEW YORK, NY 10034(212) 932-4000 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2024, Aug 15, 2024, Jul 23, 2024 (3 updates tracked since 2024).

About Mr. William Wagner Pa-c NPPES

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

MR. WILLIAM WAGNER PA-C (NPI 1407684400) is an individual physician assistant in New York, New York, licensed in New York (032380) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407684400
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WILLIAM WAGNERCredential: PA-C
Location Address5141 BROADWAYNew York, NY 10034-1159
Mailing Address25 Franklin Ave Apt 6oWhite Plains, NY 10601-3857 · (845) 554-4757
Phone(212) 932-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 23, 2024
Last NPPES UpdateSeptember 6, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1407684400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 032380
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
5141 BROADWAY, New York, NY 10034
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Secondary Practice Locations 2

Location 1693 White Plains RdScarsdale, NY 10709 · Phone (212) 305-4565
Location 2500 Grand AveEnglewood, NJ 07631-4967 · Phone (212) 305-4565

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

Mr. William Wagner Pa-c 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 ID143760843
PECOS Enrollment IDI20240909003650, I20260218002205
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10034 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

AMANDA SARA BROWN RN
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4165
BRITNEY SAMIRA MATTHEWS NP
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
RAHUL SHAH M.D.
Hospitalist
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
SONIKA KAUR CHOUHAN
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
DR. DEAN CHOU MD
Neurological Surgery
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 305-7376
MS. KAREN MERYL STUGENSKY RPA-C
Physician Assistant (Medical)
5141 BROADWAY, ALLEN PAVILION
NEW YORK, NY 10034
New York County (212) 932-4125
DEREK MAZIQUE
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
KRISTEN MICHELE MITCHELL PA
Physician Assistant (Surgical)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4171

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 William Wagner's NPI number?

The NPI number for William Wagner is 1407684400. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is William Wagner located?

William Wagner practices at 5141 Broadway, New York, NY 10034. The listed phone number is (212) 932-4000.

What is William Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is William Wagner enrolled in Medicare?

Yes. William 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.

When was this NPI record last updated?

The NPPES record for William Wagner was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.