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

DR. SPENCER B WAGNER D.M.D
NPI 1578732467
Dentist in Provo, UT

Q: What is Spencer Wagner's NPI number?

The NPI number for Spencer Wagner is 1578732467. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Q: What is Spencer Wagner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Wagner was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 25, 2008PECOS Enrolled

2520 N UNIVERSITY AVE, SUITE 101, PROVO, UT 84604(801) 426-6255(801) 224-2966 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. Spencer B Wagner D.m.d NPPES

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

DR. SPENCER B WAGNER D.M.D (NPI 1578732467) is an individual dentist in Provo, Utah, licensed in South Carolina (3192) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578732467

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SPENCER B WAGNERCredential: D.M.D

Location Address2520 N UNIVERSITY AVE, SUITE 101Provo, UT 84604-3804

Mailing Address2520 N University Ave, Suite 101Provo, UT 84604-3804 · (801) 426-6255 · Fax (801) 224-2966

Phone(801) 426-6255

Fax(801) 224-2966

Sole ProprietorNo

Enumeration DateFebruary 25, 2008

Last NPPES UpdateSeptember 29, 2026

✔ NPI 1578732467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in SC · 3192✔ Licensed in UT · 6026130

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2520 N UNIVERSITY AVE, Provo, UT 84604

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Other Identifiers 1

MedicaidZ31920NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Spencer B Wagner D.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

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 Spencer Wagner's NPI number?

The NPI number for Spencer Wagner is 1578732467. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Spencer Wagner located?

Spencer Wagner practices at 2520 N University Ave Suite 101, Provo, UT 84604. The listed phone number is (801) 426-6255.

What is Spencer Wagner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Spencer Wagner enrolled in Medicare?

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

What insurance does Spencer Wagner accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Spencer 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.

When was this NPI record last updated?

The NPPES record for Spencer Wagner was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.