THOR WAGNER MD
NPI 1447333521
Pediatrics - Pediatric Infectious Diseases in Seattle, WA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
1959 NE PACIFIC ST, C212, BOX 356340, SEATTLE, WA 98195(206) 543-0065 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thor Wagner Md NPPES

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

THOR WAGNER MD (NPI 1447333521) is an individual pediatric infectious diseases provider in Seattle, Washington, licensed in Washington (MD00044528) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2000).

NPPES Registry Identity

NPI1447333521
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameTHOR WAGNERCredential: MD
Location Address1959 NE PACIFIC ST, C212, BOX 356340Seattle, WA 98195-6340
Mailing Address1959 Ne Pacific St, C212, Box 356340Seattle, WA 98195-6340
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2000
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447333521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in WA · MD00044528
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
1959 NE PACIFIC ST, Seattle, WA 98195

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

Thor Wagner Md 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 ID7113095845
PECOS Enrollment IDI20081008000622
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 Reassignment

Medicare enrollment records show Thor Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
4500 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • 1,443 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.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

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 Thor Wagner's NPI number?

The NPI number for Thor Wagner is 1447333521. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Thor Wagner located?

Thor Wagner practices at 1959 NE Pacific St C212, Box 356340, Seattle, WA 98195. The listed phone number is (206) 543-0065.

What is Thor Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Thor Wagner enrolled in Medicare?

Yes. Thor Wagner 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 organization bills Medicare for Thor Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thor Wagner reassigns Medicare benefits to The Association Of Chrmc And University Physicians (Seattle, WA). The 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 Thor Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thor Wagner accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thor Wagner 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 Thor Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.