MARK W WAGNER MD
NPI 1508974544
Psychiatry & Neurology - Psychiatry in Charleston, SC
About Mark W Wagner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK W WAGNER MD (NPI 1508974544) is an individual psychiatry provider in Charleston, South Carolina, licensed in South Carolina (15073) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Mark W 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mark Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Laconia, NH 03246
- Reassigned Medicare billing, New Hampshire enrollment
- 27 clinicians in this Medicare group
Laconia, NH 03246
- Reassigned Medicare billing, New Hampshire enrollment
- 409 clinicians in this Medicare group
Meredith, NH 03253
- Reassigned Medicare billing, New Hampshire enrollment
- 92 clinicians in this Medicare group
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 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHARLESTON, SC 29425
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 Mark Wagner's NPI number?
The NPI number for Mark Wagner is 1508974544. It was assigned to this individual provider in the NPPES registry on August 29, 2006.
Where is Mark Wagner located?
Mark Wagner practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Mark Wagner's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Mark Wagner enrolled in Medicare?
Yes. Mark 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 Mark Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Wagner reassigns Medicare benefits to 3 organizations: The Lakes Region Mental Health Center, Inc. (Laconia, NH), Concord Hospital-Laconia (Laconia, NH) and Speare Memorial Hospital (Meredith, NH). 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 Mark Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Wagner accept?
Health plans from Ambetter from NH Healthy Families list Mark Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mark Wagner was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mark W Wagner, MD · NPI 1508974544
Psychiatry physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since August 29, 2006.
## Identity
- **NPI:** 1508974544 (Entity type: Individual)
- **Enumerated:** August 29, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 15073 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-0001
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Lakes Region Mental Health Center, Inc. (NPI 1902994866, Laconia, NH); Concord Hospital-Laconia (NPI 1053993741, Laconia, NH); Speare Memorial Hospital (NPI 1669161659, Meredith, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 1989
## Record status
- **NPPES last updated:** September 6, 2011
- **Other identifiers:** Medicaid 150739 (SC); Medicare UPIN F18072
---
Source: [NPI Profile](https://npiprofile.com/npi/1508974544) · Data from the CMS NPPES public registry.