BRIAN J WAGNER MD
NPI 1477633931
Obstetrics & Gynecology - Maternal & Fetal Medicine in New York, NY

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
1176 FIFITH AVENUE E LEVEL, NEW YORK, NY 10029(212) 659-8557(212) 369-2385 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brian J Wagner Md NPPES

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

BRIAN J WAGNER MD (NPI 1477633931) is an individual maternal & fetal medicine provider in New York, New York, licensed in New York (225630) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2000).

NPPES Registry Identity

NPI1477633931
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameBRIAN J WAGNERCredential: MD
Location Address1176 FIFITH AVENUE E LEVELNew York, NY 10029-6501
Mailing Address5 East 98th Street Box 1170New York, NY 10029-6501 · (212) 241-5681 · Fax (212) 348-7438
Fax(212) 369-2385
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2000
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 22, 2012
NPI 1477633931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in NY · 225630
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 225630 (NY)
1176 FIFITH AVENUE E LEVEL, New York, NY 10029

Other Identifiers 1

Medicaid02532754NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brian J 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 ID4880655992
PECOS Enrollment IDI20041022000037
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 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477633931, enumerated as an "individual" on October 17, 2006.

The provider is located at 1176 FIFITH AVENUE E LEVEL NEW YORK, NY 10029 and the phone number is (212) 659-8557.

Obstetrics & Gynecology with taxonomy code 207VM0101X and a focus in Maternal & Fetal Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.