DR. NEILSON LANE WAGLEY DMD
NPI 1427582964
Dentist - Oral and Maxillofacial Surgery in Austintown, OH

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
5437 MAHONING AVE, AUSTINTOWN, OH 44515(330) 792-2501 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2021, Dec 16, 2020, Apr 11, 2017 (3 updates tracked since 2017).

About Dr. Neilson Lane Wagley Dmd NPPES

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

DR. NEILSON LANE WAGLEY DMD (NPI 1427582964) is an individual oral and maxillofacial surgery provider in Austintown, Ohio, licensed in Ohio (30.026403) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Univ Of Pittsburgh School Of Dental Medicine (2017).

NPPES Registry Identity

NPI1427582964
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. NEILSON LANE WAGLEYCredential: DMD
Location Address5437 MAHONING AVEAustintown, OH 44515-2437
Mailing Address5437 Mahoning AveAustintown, OH 44515-2437 · (330) 792-2501
Sole ProprietorYes
Medical School CMSUniv Of Pittsburgh School Of Dental MedicineGraduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateJune 14, 20213 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1427582964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OH · 30.026403
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 11222 (TN)
5437 MAHONING AVE, Austintown, OH 44515

Other Identifiers 2

Other30.026403OH · State Dental License
Other11222TN · State Dental License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neilson Lane Wagley Dmd 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 ID749558732
PECOS Enrollment IDI20210824003676
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 Neilson Wagley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oral & Maxillofacial Surgery
5437 MAHONING AVE STE 12
Austintown, OH 44515
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
Dentist
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44515 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 3

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

Counselor
5437 MAHONING AVE
YOUNGSTOWN, OH 44515
Durable Medical Equipment & Medical Supplies
5437 MAHONING AVE, SUITE 5
AUSTINTOWN, OH 44515
Oral & Maxillofacial Surgery
5437 MAHONING AVE, SUITE 12
AUSTINTOWN, OH 44515

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 Neilson Wagley's NPI number?

The NPI number for Neilson Wagley is 1427582964. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Neilson Wagley located?

Neilson Wagley practices at 5437 Mahoning Ave, Austintown, OH 44515. The listed phone number is (330) 792-2501.

What is Neilson Wagley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Neilson Wagley enrolled in Medicare?

Yes. Neilson Wagley 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.

Which organizations bill Medicare for Neilson Wagley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neilson Wagley reassigns Medicare benefits to 2 organizations: Mill Creek Oral & Maxillofacial Surgery Associates Inc (Austintown, OH) and Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH). 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 Neilson Wagley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neilson Wagley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 2 other insurers list Neilson Wagley 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.

When was this NPI record last updated?

The NPPES record for Neilson Wagley was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.