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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MICHAEL WAGNER MD
NPI 1437199437
Internal Medicine in Medford, MA

Active since June 07, 2006PECOS Enrolled
170 GOVERNORS AVE, MEDFORD, MA 02155(508) 486-5678 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Wagner Md NPPES

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

MICHAEL WAGNER MD (NPI 1437199437) is an individual internal medicine provider in Medford, Massachusetts, licensed in Massachusetts (72830) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437199437
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL WAGNERCredential: MD
Location Address170 GOVERNORS AVEMedford, MA 02155-1643
Mailing Address13 Old Landing RdPembroke, MA 02359-1948 · (214) 712-2000
Phone(508) 486-5678
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1437199437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 72830
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.
170 GOVERNORS AVE, Medford, MA 02155
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael 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 02155 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

ELLEN DIANA KLEE NP
Nurse Practitioner (Adult Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER
MEDFORD, MA 02155
Middlesex County (781) 306-6370
MRS. KERRI ANNE DEWOLF
Social Worker (Clinical)
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6157
SHARON HALL RNCS
Clinical Nurse Specialist (Psychiatric/Mental Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Middlesex County (781) 306-6150
MICHELLE VIDAL LICSW
Social Worker (Clinical)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Middlesex County (781) 306-6008
ANDREA MESSINA N.P.
Nurse Practitioner (Adult Health)
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6000
DR. JOSEPH M MURPHY JR. M.D.
Internal Medicine
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 391-4106
MRS. CAMILLE ROSE ROSSETTI P.T.A.
Physical Therapy Assistant
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 395-7750
EILEEN WEGENER MD
Internal Medicine
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6102

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 Michael Wagner's NPI number?

The NPI number for Michael Wagner is 1437199437. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Michael Wagner located?

Michael Wagner practices at 170 Governors Ave, Medford, MA 02155. The listed phone number is (508) 486-5678.

What is Michael Wagner's specialty?

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

Is Michael Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Wagner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.