JESSE WAGNER M.D.
NPI 1528048428
Internal Medicine in Middletown, CT
About Jesse Wagner M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE WAGNER M.D. (NPI 1528048428) is an individual internal medicine provider in Middletown, Connecticut, licensed in Connecticut (036836) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jesse Wagner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jesse Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 178 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06457 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MIDDLETOWN, CT 06457
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 Jesse Wagner's NPI number?
The NPI number for Jesse Wagner is 1528048428. It was assigned to this individual provider in the NPPES registry on January 18, 2006.
Where is Jesse Wagner located?
Jesse Wagner practices at 28 Crescent St, Middletown, CT 06457. The listed phone number is (860) 358-4720.
What is Jesse Wagner's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jesse Wagner enrolled in Medicare?
Yes. Jesse Wagner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jesse Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Wagner reassigns Medicare benefits to Middlesex Hospital (Middletown, CT). The 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 Jesse 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 Jesse Wagner was last updated on November 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jesse Wagner, M.D. · NPI 1528048428
Internal Medicine physician in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since January 18, 2006.
## Identity
- **NPI:** 1528048428 (Entity type: Individual)
- **Enumerated:** January 18, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036836 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 28 CRESCENT ST, Middletown, CT 06457-3654
- **Phone:** (860) 358-4720 · **Fax:** (860) 358-6271
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Middlesex Hospital (NPI 1972563138, Middletown, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2009
- **Other identifiers:** Medicare UPIN A63586 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1528048428) · Data from the CMS NPPES public registry.