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DR. SARAH VAN WAGNER D.O.
NPI 1538425723
Family Medicine in New York, NY

Active since April 02, 2012PECOS Enrolled
622 W 168TH ST, NEW YORK, NY 10032(212) 305-6081 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Sarah Van Wagner D.o. NPPES

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

DR. SARAH VAN WAGNER D.O. (NPI 1538425723) is an individual family medicine provider in New York, New York, licensed in New York (279338) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538425723
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SARAH VAN WAGNERCredential: D.O.
Location Address622 W 168TH STNew York, NY 10032
Mailing Address1 Columbus Pl Apt S14fNew York, NY 10019-8204 · (908) 400-0221
Phone(212) 305-6081
Sole ProprietorNo
Enumeration DateApril 2, 2012
Last NPPES UpdateAugust 21, 2018
✔ NPI 1538425723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 279338
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
622 W 168TH ST, New York, NY 10032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sarah Van Wagner D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Sarah Van Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Affiliate Group Of New York PC
1.9 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Harlem Medical Associates PC
1.9 mi
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1487957692 (631) 675-9300
Icahn School Of Medicine At Mount Sinai
5.1 mi
Internal Medicine
25-10 30TH AVENUE
Astoria, NY 11102
  • Reassigned Medicare billing, New York enrollment
  • 207 clinicians in this Medicare group
NPI 1477932275 (718) 932-1000

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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262
SAAGAR MADHAV PANDE
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100

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 Sarah Van Wagner's NPI number?

The NPI number for Sarah Van Wagner is 1538425723. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Sarah Van Wagner located?

Sarah Van Wagner practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-6081.

What is Sarah Van Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sarah Van Wagner enrolled in Medicare?

Yes. Sarah Van Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Van Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Van Wagner reassigns Medicare benefits to 3 organizations: Physician Affiliate Group Of New York PC (New York, NY), Harlem Medical Associates PC (New York, NY) and Icahn School Of Medicine At Mount Sinai (Astoria, 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 Sarah Van 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 Sarah Van Wagner was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.