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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: November 01, 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
Phone(212) 659-8557
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
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Other Identifiers 1

Medicaid02532754NY

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai
0.1 mi
Obstetrics & Gynecology
5 E 98TH ST, SECOND FLOOR
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1922411065 (New York)
  • 134 clinicians in this Medicare group
NPI 1124392212 (212) 241-8470
Optum Medical Care, P.C.
31 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Wagner's NPI number?

The NPI number for Brian Wagner is 1477633931. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Brian Wagner located?

Brian Wagner practices at 1176 Fifith Avenue E Level, New York, NY 10029. The listed phone number is (212) 659-8557.

What is Brian Wagner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Brian Wagner enrolled in Medicare?

Yes. Brian 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 organizations bill Medicare for Brian Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Wagner reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each 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 Brian Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Wagner was last updated on March 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.