JEFFREY G WAGNER M.D.
NPI 1568624187
Family Medicine in Las Vegas, NV

Q: What is Jeffrey Wagner's NPI number?

The NPI number for Jeffrey Wagner is 1568624187. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Q: What is Jeffrey Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Wagner was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 25, 2008PECOS Enrolled

9280 W SUNSET RD STE 200, LAS VEGAS, NV 89148(702) 844-4846(702) 844-4847 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2021, Aug 15, 2018 (2 updates tracked since 2018).

On this page

About Jeffrey G Wagner M.d. NPPES

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

JEFFREY G WAGNER M.D. (NPI 1568624187) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (14017) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568624187

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJEFFREY G WAGNERCredential: M.D.

Location Address9280 W SUNSET RD STE 200Las Vegas, NV 89148

Mailing AddressPo Box 98978Las Vegas, NV 89193-8978 · (702) 216-3346 · Fax (702) 671-6883

Phone(702) 844-4846

Fax(702) 844-4847

Sole ProprietorNo

Enumeration DateJune 25, 2008

Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ NPI 1568624187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 14017

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.

9280 W SUNSET RD STE 200, Las Vegas, NV 89148

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Secondary Practice Locations 2

Location 15255 E Williams Cir Ste 3000Tucson, AZ 85711-7407 · Phone (520) 393-3244

Location 22525 12th St SE Ste 260Salem, OR 97302-2282 · Phone (971) 701-9058

Other Identifiers 1

Medicaid1568624187NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey G Wagner M.d. 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

Medicare enrollment records show Jeffrey Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bacchus PC

11 mi

Family Medicine

880 SEVEN HILLS DR STE 140
Henderson, NV 89052

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Bacchus Wakefield Kahan PC
61 clinicians in this Medicare group

NPI 1134628480 (702) 844-4840

P3 Medical Group PC

734 mi

Family Medicine

966 12TH ST SE STE 110
Salem, OR 97302

Reassigned Medicare billing, Oregon enrollment
31 clinicians in this Medicare group

NPI 1689266926 (971) 239-0001

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 89148 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 2

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

MARY M NARA NP-C

Nurse Practitioner (Family)

9280 W SUNSET RD STE 200
LAS VEGAS, NV 89148

Clark County (702) 844-4846

ROOPA DANI MD

Family Medicine (Geriatric Medicine)

9280 W SUNSET RD STE 200
LAS VEGAS, NV 89148

Clark County (702) 844-4846

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 Jeffrey Wagner's NPI number?

The NPI number for Jeffrey Wagner is 1568624187. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Jeffrey Wagner located?

Jeffrey Wagner practices at 9280 W Sunset Rd Ste 200, Las Vegas, NV 89148. The listed phone number is (702) 844-4846.

What is Jeffrey Wagner's specialty?

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

Is Jeffrey Wagner enrolled in Medicare?

Yes. Jeffrey Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffrey Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wagner reassigns Medicare benefits to 2 organizations: Bacchus PC (Henderson, NV) and P3 Medical Group PC (Salem, OR). 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 Jeffrey 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 Jeffrey Wagner was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.