KYLE WAGNER DO
NPI 1538740345
Hospitalist in Chattanooga, TN

Q: What is Kyle Wagner's NPI number?

The NPI number for Kyle Wagner is 1538740345. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Q: What is Kyle Wagner's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Wagner was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 April 14, 2021PECOS EnrolledAccepts Medicare Assignment

2525 DESALES AVE, CHATTANOOGA, TN 37404(423) 495-2525 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2022, Apr 14, 2021 (2 updates tracked since 2021).

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About Kyle Wagner Do NPPES

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

KYLE WAGNER DO (NPI 1538740345) is an individual hospitalist provider in Chattanooga, Tennessee, licensed in Tennessee (6096) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Chi Memorial Hospital- Georgia, and maintains a secondary practice location in Hixson.

NPPES Registry Identity

NPI1538740345

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameKYLE WAGNERCredential: DO

Location Address2525 DESALES AVEChattanooga, TN 37404-1161

Mailing Address215 Brightwater DrLillington, NC 27546-5156 · (910) 892-1000

Phone(423) 495-2525

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2022

Enumeration DateApril 14, 2021

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1538740345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in TN · 6096

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

2525 DESALES AVE, Chattanooga, TN 37404

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Secondary Practice Location 1

Location 12051 Hamill RdHixson, TN 37343-6614 · Phone (423) 495-7100 · Fax (423) 495-6312

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

Kyle 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 ID244739951

PECOS Enrollment IDI20250819003330

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.

Hospital Affiliations CMS Care Compare 2

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

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number110236

Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County

Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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. COURTNEY ELIZABETH PEARSON PHARMD, MPH, BCPS

Pharmacist