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JOHN DAVID WAGNER M.D.
NPI 1447603220
Family Medicine in Camp Pendleton, CA

Active since July 18, 2016PECOS Enrolled
NMRTC CAMP PENDLETON, 4TH FLOOR, RM 4172, CAMP PENDLETON, CA 92055(760) 725-1288 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2023, Dec 8, 2022, Jul 15, 2019 (3 updates tracked since 2019).

About John David Wagner M.d. NPPES

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

JOHN DAVID WAGNER M.D. (NPI 1447603220) is an individual family medicine provider in Camp Pendleton, California, licensed in Florida (ME133693) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447603220
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN DAVID WAGNERCredential: M.D.
Location AddressNMRTC CAMP PENDLETON, 4TH FLOOR, RM 4172Camp Pendleton, CA 92055
Mailing AddressNmrtc Camp Pendleton, 4th Floor, Rm 4172Camp Pendleton, CA 92055 · (760) 725-1288
Phone(760) 725-1288
Sole ProprietorNo
Enumeration DateJuly 18, 2016
Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1447603220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME133693
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.
NMRTC CAMP PENDLETON, Camp Pendleton, CA 92055
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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)

John David Wagner M.d. 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 92055 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 8

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

PAIMON AMELI
Psychiatry & Neurology (Psychiatry)
NMRTC CAMP PENDLETON, 4TH FLOOR, RM 4172
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1288
MCKENZIE ROONEY DO
General Practice
NMRTC CAMP PENDLETON, 4TH FLOOR, RM 4172
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1288
MICHAEL STEPHEN ROACH PA-C
Physician Assistant
NMRTC CAMP PENDLETON, 4TH FLOOR, RM 4172
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1288
DANIEL O MUNOZ
Counselor (Addiction (Substance Use Disorder))
NMRTC CAMP PENDLETON, 500 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 763-8672
DHANUSHA SUBRAMANI
General Practice
NMRTC CAMP PENDLETON
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1288
MELANIE JEAN PRIBICH MD
Hospitalist
NMRTC CAMP PENDLETON, 4TH FLOOR, RM 4172
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1288
DR. ZACHARY LIVEZEY WRIGHT DO
General Practice
NMRTC CAMP PENDLETON, 200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 725-2873
JAMES KEVIN JONES PA
Physician Assistant
NMRTC CAMP PENDLETON, 4TH FLOOR, RM 4172
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1288

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 John Wagner's NPI number?

The NPI number for John Wagner is 1447603220. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Where is John Wagner located?

John Wagner practices at Nmrtc Camp Pendleton 4th Floor, Rm 4172, Camp Pendleton, CA 92055. The listed phone number is (760) 725-1288.

What is John Wagner's specialty?

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

Is John Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Wagner was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.