DR. BENJAMIN J WAGNER DO
NPI 1497047567
Emergency Medicine in Carbondale, IL

Q: What is Benjamin Wagner's NPI number?

The NPI number for Benjamin Wagner is 1497047567. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Q: What is Benjamin Wagner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Wagner was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 09, 2011PECOS EnrolledAccepts Medicare Assignment

75.73/100

CMS Quality Rating

405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721(618) 457-0469 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2021, Mar 17, 2018, Jul 14, 2017 (3 updates tracked since 2017).

On this page

About Dr. Benjamin J Wagner Do NPPES

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

DR. BENJAMIN J WAGNER DO (NPI 1497047567) is an individual emergency medicine provider in Carbondale, Illinois, licensed in Illinois (036140784) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497047567

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. BENJAMIN J WAGNERCredential: DO

Location Address405 W JACKSON STCarbondale, IL 62901-1462

Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 534-3745 · Fax (814) 534-5677

Phone(618) 549-0721

Fax(618) 457-0469

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2011

Enumeration DateMay 9, 2011

Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2021

✔ NPI 1497047567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 036140784✔ Licensed in PA · OS016686

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

405 W JACKSON ST, Carbondale, IL 62901

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Secondary Practice Locations 2

Location 12 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 529-0524

Location 2201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 · Fax (618) 988-6186

Other Identifiers 1

Medicaid036140784IL

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

Dr. Benjamin J Wagner Do 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 ID5799914495

PECOS Enrollment IDI20160719000295

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

292 services283 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

170 services168 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.09

Promoting Interoperability

100

Improvement Activities

Cost

45.26

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.

MR. LUKAS WARD PA

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

RUPAL PARMAR M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

SCOTT A. COOPER M.D.

Emergency Medicine

405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901

Jackson County (618) 549-0721

LONG HA HUYNH M.D., PH.D.

Anesthesiology

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. BRITNEY NICOLE ARNOLD PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MR. DAN EDWARD MILLER CRNA

Nurse Anesthetist, Certified Registered

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

AMANDA M RYDEN MD

Emergency Medicine

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. NICOLE A JOHNSON PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

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 Benjamin Wagner's NPI number?

The NPI number for Benjamin Wagner is 1497047567. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Where is Benjamin Wagner located?

Benjamin Wagner practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Benjamin Wagner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Wagner enrolled in Medicare?

Yes. Benjamin 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.

Is Benjamin Wagner affiliated with any hospitals?

According to CMS data, Benjamin Wagner is affiliated with Herrin Hospital and Memorial Hospital Of Carbondale.

When was this NPI record last updated?

The NPPES record for Benjamin Wagner was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.