Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELLIOTT JAY WAGNER M.D.
NPI 1558312579
Radiology - Diagnostic Radiology in Beverly Hills, CA

Active since May 15, 2006PECOS Enrolled
8750 WILSHIRE BLVD STE 100, BEVERLY HILLS, CA 90211(310) 689-3100 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Oct 9, 2026, Jul 28, 2026 and 3 more (6 updates tracked since 2018).

About Elliott Jay Wagner M.d. NPPES

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

ELLIOTT JAY WAGNER M.D. (NPI 1558312579) is an individual diagnostic radiology provider in Beverly Hills, California, licensed in California (G49698) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1558312579
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameELLIOTT JAY WAGNERCredential: M.D.
Location Address8750 WILSHIRE BLVD STE 100Beverly Hills, CA 90211-2708
Mailing Address200 E 66th St Apt C904New York, NY 10065-0163 · (888) 886-5238 · Fax (888) 886-9330
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1978
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 26, 20266 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1558312579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CA · G49698✔ Licensed in NJ · 25MA08122100✔ Licensed in KY · 42168✔ Licensed in MO · 2009029480✔ Licensed in AL · 50580✔ Licensed in NY · 238657-1✔ Licensed in NM · MD2008-0777✔ Licensed in IL · 036120986
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
8750 WILSHIRE BLVD STE 100, Beverly Hills, CA 90211

Secondary Practice Locations 6

Location 1910 Wallace AveLeitchfield, KY 42754-2414 · Phone (270) 259-9491
Location 2750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 3765 Main AveWarwick, RI 02886-3213 · Phone (401) 737-2229
Location 41 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000
Location 56000 Hospital DrHannibal, MO 63401-6887 · Phone (573) 248-5300 · Fax (573) 248-5302
Location 6200 E 66th St Apt C904New York, NY 10065-0163 · Phone (949) 378-4889 · Fax (212) 752-2190

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

Elliott Jay Wagner M.d. 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 ID7416856745
PECOS Enrollment IDI20071012000000, I20100416000403, I20110131000121, I20140115001030, I20140519001951, I20140618001666, I20140618001773, I20140730000096, I20140812000153, I20140915001749, I20161221002016, I20181017003770, I20181018001590, I20181107002225, I20191022001168, I20201014002530
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

109

Medicare enrollment records show Elliott Wagner reassigns Medicare billing to 109 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
8700 BEVERLY BLVD STE SB-290
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
Diagnostic Radiology
1516 COTNER AVE
Los Angeles, CA 90025
  • Reassigned Medicare billing, California enrollment
  • 311 clinicians in this Medicare group
Diagnostic Radiology
1510 COTNER AVE
Los Angeles, CA 90025
  • Reassigned Medicare billing, California and New York enrollments
  • 335 clinicians in this Medicare group
Physical Medicine & Rehabilitation
7716 W MANCHESTER AVE
Playa Del Rey, CA 90293
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: La Paz Regional Hospital Inc
  • 113 clinicians in this Medicare group
Vascular-Interventional Technology
16311 VENTURA BLVD STE 120
Encino, CA 91436
  • Reassigned Medicare billing, California enrollment
  • 329 clinicians in this Medicare group
Diagnostic Radiology
601 CARUSO AVE
Glendale, CA 91210
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
Diagnostic Radiology
601 CARUSO AVE
Glendale, CA 91210
  • Reassigned Medicare billing, New York and Texas enrollments
  • 6 clinicians in this Medicare group
Diagnostic Ultrasound
12612 RAYMER ST
North Hollywood, CA 91605
  • Reassigned Medicare billing, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Texas, Nevada, Arizona and Washington enrollments
  • Also billed through NPI 1811210289 (Nevada), NPI 1851613764 (Arizona), NPI 1124340039 (Washington)
  • 46 clinicians in this Medicare group
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
Diagnostic Radiology
18436 ROSCOE BLVD
Northridge, CA 91325
  • Reassigned Medicare billing, New York enrollment
  • 8 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 121

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
9,800 services123 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
1,670 services1,456 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,219 services1,095 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
972 services630 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
740 services528 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
708 services598 patients

Hospital Affiliations CMS Care Compare 3

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Lake Granbury Medical Center

Acute Care Hospitals · Granbury, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450596
Location1310 Paluxy RdGranbury, TX 76048 · Hood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90211 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
8750 WILSHIRE BLVD STE 100
BEVERLY HILLS, CA 90211
Radiology (Diagnostic Radiology)
8750 WILSHIRE BLVD STE 100
BEVERLY HILLS, CA 90211
Radiology (Diagnostic Radiology)
8750 WILSHIRE BLVD STE 100
BEVERLY HILLS, CA 90211
Radiology (Diagnostic Radiology)
8750 WILSHIRE BLVD STE 100
BEVERLY HILLS, CA 90211
Radiology (Diagnostic Radiology)
8750 WILSHIRE BLVD STE 100
BEVERLY HILLS, CA 90211
Radiology (Diagnostic Radiology)
8750 WILSHIRE BLVD STE 100
BEVERLY HILLS, CA 90211
Radiology (Diagnostic Radiology)
8750 WILSHIRE BLVD STE 100
BEVERLY HILLS, CA 90211
Radiology (Diagnostic Radiology)
8750 WILSHIRE BLVD STE 100
BEVERLY HILLS, CA 90211

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 Elliott Wagner's NPI number?

The NPI number for Elliott Wagner is 1558312579. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Elliott Wagner located?

Elliott Wagner practices at 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211. The listed phone number is (310) 689-3100.

What is Elliott Wagner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Elliott Wagner enrolled in Medicare?

Yes. Elliott 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 Elliott Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elliott Wagner reassigns Medicare benefits to 109 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Pronet Imaging Medical Group, Inc. (Los Angeles, CA), Beverly Radiology Medical Group III (Los Angeles, CA), Integrated Rehab Consultants California Inc (Playa Del Rey, CA), San Fernando Valley Interventional Radiology And Imaging Center (Encino, CA) and 104 more organizations, listed in the Medicare section above. 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 Elliott Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elliott Wagner accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Health and 3 other insurers list Elliott 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.

Is Elliott Wagner affiliated with any hospitals?

According to CMS data, Elliott Wagner is affiliated with Tallahassee Memorial Healthcare, Wilkes-Barre General Hospital and Lake Granbury Medical Center.

When was this NPI record last updated?

The NPPES record for Elliott Wagner was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.