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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CORY WAGNER MD
NPI 1467101568
Internal Medicine in Los Angeles, CA

Active since March 23, 2022PECOS Enrolled
8631 W 3RD ST # 1135E, LOS ANGELES, CA 90048(310) 423-7494 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Mar 20, 2026 (2 updates tracked since 2026).

About Cory Wagner Md NPPES

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

CORY WAGNER MD (NPI 1467101568) is an individual internal medicine provider in Los Angeles, California, licensed in California (A198800) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hemet.

NPPES Registry Identity

NPI1467101568
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCORY WAGNERCredential: MD
Location Address8631 W 3RD ST # 1135ELos Angeles, CA 90048-5901
Mailing Address1117 E Devonshire AveHemet, CA 92543-3083
Phone(310) 423-7494
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1467101568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A198800
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.
8631 W 3RD ST # 1135E, Los Angeles, CA 90048
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Secondary Practice Location 1

Location 11117 E Devonshire AveHemet, CA 92543-3083 · Phone (951) 652-2811

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cory 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 90048 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

MARK DAVIDSON MD INC
Internal Medicine (Gastroenterology)
8631 W 3RD ST # 1135E
LOS ANGELES, CA 90048
Los Angeles County (310) 855-0222

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 Cory Wagner's NPI number?

The NPI number for Cory Wagner is 1467101568. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Cory Wagner located?

Cory Wagner practices at 8631 W 3rd St # 1135E, Los Angeles, CA 90048. The listed phone number is (310) 423-7494.

What is Cory Wagner's specialty?

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

Is Cory Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cory Wagner was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.