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DR. CLIFF W WAGNER MD
NPI 1407977119
Family Medicine in Newington, CT

Active since April 02, 2007PECOS Enrolled
2909 BERLIN TPKE, NEWINGTON, CT 06111(860) 436-3757(860) 436-9622 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Cliff W Wagner Md NPPES

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

DR. CLIFF W WAGNER MD (NPI 1407977119) is an individual family medicine provider in Newington, Connecticut, licensed in Connecticut (030264) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407977119
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CLIFF W WAGNERCredential: MD
Location Address2909 BERLIN TPKENewington, CT 06111-4115
Mailing Address2909 Berlin TpkeNewington, CT 06111-4115 · (860) 436-3757 · Fax (860) 436-9622
Phone(860) 436-3757
Fax(860) 436-9622
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateMay 15, 2014
✔ NPI 1407977119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 030264
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 030264 (CT)
2909 BERLIN TPKE, Newington, CT 06111
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Other Identifiers 1

Medicare UPIND88722

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cliff W Wagner Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06111 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 3

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

DR. LAWRENCE PAUL LEVINE M.D.
Family Medicine
2909 BERLIN TPKE
NEWINGTON, CT 06111
Capitol Planning Region (860) 436-3757
TIMOTHY LASSITER PA-C
Physician Assistant
2909 BERLIN TPKE
NEWINGTON, CT 06111
Capitol Planning Region (860) 436-3757
PREMIER HEALTHCARE SERVICES OF CONNECTICUT LLC
Clinic/Center (Urgent Care)
2909 BERLIN TPKE
NEWINGTON, CT 06111
Capitol Planning Region (860) 436-3757

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 Cliff Wagner's NPI number?

The NPI number for Cliff Wagner is 1407977119. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Cliff Wagner located?

Cliff Wagner practices at 2909 Berlin Tpke, Newington, CT 06111. The listed phone number is (860) 436-3757.

What is Cliff Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cliff Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cliff Wagner was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.