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DR. DIANNE P. WAGNER M.D.
NPI 1407880792
Internal Medicine in East Lansing, MI

Active since July 10, 2006PECOS Enrolled
138 SERVICE RD STE A225, EAST LANSING, MI 48824(517) 353-4941(517) 432-3145 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Dianne P. Wagner M.d. NPPES

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

DR. DIANNE P. WAGNER M.D. (NPI 1407880792) is an individual internal medicine provider in East Lansing, Michigan, licensed in Michigan (4301045093) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407880792
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DIANNE P. WAGNERCredential: M.D.
Location Address138 SERVICE RD STE A225East Lansing, MI 48824-1376
Mailing AddressB338 Clinical Center, Department Of MedicineEast Lansing, MI 48824 · (517) 432-9124
Phone(517) 353-4941
Fax(517) 432-3145
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 15, 2009
✔ NPI 1407880792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301045093
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
138 SERVICE RD STE A225, East Lansing, MI 48824
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Other Identifiers 3

Medicaid1540886MI
Medicare PIN0C36082040MI
Medicare UPIND72666MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dianne P. Wagner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Dianne Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michigan State University
0.7 mi
Psychiatry
909 WILSON RD RM B119
East Lansing, MI 48824
  • Reassigned Medicare billing, Michigan enrollment
  • 92 clinicians in this Medicare group
NPI 1164973418 (517) 353-3070
Care Free Medical, Inc
2.3 mi
Federally Qualified Health Center (FQHC)
1115 S PENNSYLVANIA AVE STE 101
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
NPI 1700607405 (517) 887-5922

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48824 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
66%70 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
45%20 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%394 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%35 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%117 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%110 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%117 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
31%117 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
55%117 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DR. MICHAEL HARRY ZAROUKIAN M.D.
Internal Medicine
138 SERVICE RD STE A225
EAST LANSING, MI 48824
Ingham County (517) 353-4941

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 Dianne Wagner's NPI number?

The NPI number for Dianne Wagner is 1407880792. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Dianne Wagner located?

Dianne Wagner practices at 138 Service Rd Ste A225, East Lansing, MI 48824. The listed phone number is (517) 353-4941.

What is Dianne Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dianne Wagner enrolled in Medicare?

Yes. Dianne Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dianne Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dianne Wagner reassigns Medicare benefits to 2 organizations: Michigan State University (East Lansing, MI) and Care Free Medical, Inc (Lansing, MI). 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 Dianne Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dianne Wagner was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.