DR. KARL G WAGNER MD NPI 1427099183

Anesthesiology in Cleveland, OH

NPI 1427099183 Individual Male Years of Experience 21 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. KARL G WAGNER MD

Karl Wagner is a provider established in Cleveland, Ohio and his medical specialization is anesthesiology with more than 21 years of experience. The NPI number of Karl Wagner is 1427099183 and was assigned on June 2006. The practitioner's primary taxonomy code is 207L00000X with license number 35086562 (OH). The provider is registered as an individual and his NPI record was last updated 15 years ago.

An anesthesiologist like Dr. Karl G Wagner Md manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Karl Wagner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Karl Wagner is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Alliance Community Hospital.

NPI

1427099183

Provider NameDR. KARL G WAGNER MD
Provider Location Address2500 METROHEALTH DR DEPARTMENT OF ANESTHESIOLOGY CLEVELAND, OH 44109
Provider Mailing Address2500 METROHEALTH DR DEPARTMENT OF ANESTHESIOLOGY CLEVELAND, OH 44109
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date06-10-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.35086562
License StateOH
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

DR. KARL G WAGNER MD
2500 METROHEALTH DR
DEPARTMENT OF ANESTHESIOLOGY
CLEVELAND, OH
ZIP 44109
Phone: (216) 778-4809

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Mailing Address

DR. KARL G WAGNER MD
2500 METROHEALTH DR
DEPARTMENT OF ANESTHESIOLOGY
CLEVELAND, OH
ZIP 44109
Phone: (216) 778-4809



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3072523273
PECOS Enrollment IDI20060503000180
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 27Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 14Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Karl Wagner is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ALLIANCE COMMUNITY HOSPITAL200 EAST STATE STREET
ALLIANCE, OH 44601
(330) 596-7018Acute Care Hospitals360131

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427099183
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24470918116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 9 + 1 + 8 + 1 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1427099183 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992704886 CARIE TWICHELL AA
Individual
Anesthesiologist Assistant2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4809
1104827740 JULIA A. RILEY PHARM.D.
Individual
Pharmacist2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-1946
1013909209MR. KRISTEN NILS HANSEN RPH
Individual
Pharmacist2500 METROHEALTH DR WOMENS AND CHILDRENS PLAZA
CLEVELAND, OH 44109
(216) 778-8537
1710970082MS. KELLYE KAUFMAN AA-C
Individual
Anesthesiologist Assistant2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4801
1881687564MR. BRADEN JOSEPH KUNZELMAN RPH
Individual
Pharmacist2500 METROHEALTH DR AMBULATORY PHARMACY
CLEVELAND, OH 44109
(216) 778-7548
1508859281MS. STEPHANIE E CROSS RPH
Individual
Pharmacist2500 METROHEALTH DR OUTPATIENT PHARMACY
CLEVELAND, OH 44109
(216) 778-3017
1255324943MRS. TANIA NICOLE BIERLY RPH
Individual
Pharmacist2500 METROHEALTH DR OUTPATIENT PHARMACY
CLEVELAND, OH 44109
(216) 778-2201
1154315364MR. JOSEPH PEACHMAN A.A.
Individual
Anesthesiologist Assistant2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4801
1801880596MR. MICHAEL L PYRTKO RPH
Individual
Pharmacist2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-7548
1588658157MS. EBONY NICOLE ALEXANDER RPH
Individual
Pharmacist2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-3017
1275522765 HANS C GEHO M.D.
Individual
Internal Medicine2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-7800
1376523670DR. ANDRE PROCHOROFF MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4933
1831166636 SHANE B ROWAN MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-2328
1144284928DR. BEN H BROUHARD MD
Individual
Pediatrics (Pediatric Nephrology)2500 METROHEALTH DR ROOM A-109
CLEVELAND, OH 44109
(216) 778-4900
1740246347 SHARI DANIELLE BOLEN M.D.
Individual
Internal Medicine2500 METROHEALTH DR METROHEALTH MEDICAL CENTER-INTERNAL MEDICINE CLINIC
CLEVELAND, OH 44109
(216) 778-2273
1457304255 WILLIAM E CAPPAERT M.D.
Individual
Ophthalmology2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-2236
1316987902 SHARON LYNN MACK CNP
Individual
Nurse Practitioner2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-7800
1770523516MS. ANNETTE M LYNCH MSN, CNS
Individual
Clinical Nurse Specialist (Perinatal)2500 METROHEALTH DR DEPARTMENT OF PEDIATRICS/PERINATAL
CLEVELAND, OH 44109
(216) 778-7800
1760428155 GRAHAM H CREASEY MD
Individual
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)2500 METROHEALTH DR MHMC-PM&R
CLEVELAND, OH 44109
(216) 778-8802
1508892290 JAMES F QUILTY MD
Individual
Pediatrics2500 METROHEALTH DR MHMC-PEDIATRICS
CLEVELAND, OH 44109
(216) 778-5198

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Karl G Wagner Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.