DR. JESSE WAGNER MD
NPI 1598415358
Physical Medicine & Rehabilitation in Philadelphia, PA

Active since March 25, 2022PECOS Enrolled
833 CHESTNUT ST STE 1220, PHILADELPHIA, PA 19107(800) 321-9999(267) 479-1321 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jesse Wagner Md NPPES

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

DR. JESSE WAGNER MD (NPI 1598415358) is an individual physical medicine & rehabilitation provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD492598) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marlton, and is a graduate of Medical College Of Georgia School Of Medicine (2022).

NPPES Registry Identity

NPI1598415358
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. JESSE WAGNERCredential: MD
Location Address833 CHESTNUT ST STE 1220Philadelphia, PA 19107-4413
Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (609) 677-7003
Fax(267) 479-1321
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2022
Enumeration DateMarch 25, 2022
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1598415358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses✔ Licensed in PA · MD492598✔ Licensed in NJ · 25MA12921300
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
833 CHESTNUT ST STE 1220, Philadelphia, PA 19107

Secondary Practice Location 1

Location 1999 Route 73 N Ste 401Marlton, NJ 08053-1227 · Phone (800) 321-9999 · Fax (267) 479-1321

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesse Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062875768
PECOS Enrollment IDI20260716001394
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

2

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

Orthopaedic Surgery
833 CHESTNUT ST STE 1220
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 361 clinicians in this Medicare group
Orthopaedic Surgery
999 ROUTE 73 N FL 34
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 398 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.

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.

Orthopaedic Surgery
833 CHESTNUT ST STE 1220
PHILADELPHIA, PA 19107
Physical Medicine & Rehabilitation
833 CHESTNUT ST STE 1220
PHILADELPHIA, PA 19107
Orthopaedic Surgery
833 CHESTNUT ST STE 1220
PHILADELPHIA, PA 19107
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
833 CHESTNUT ST STE 1220
PHILADELPHIA, PA 19107
Physical Therapist
833 CHESTNUT ST STE 1220
PHILADELPHIA, PA 19107
Orthopaedic Surgery
833 CHESTNUT ST STE 1220
PHILADELPHIA, PA 19107
Orthopaedic Surgery
833 CHESTNUT ST STE 1220
PHILADELPHIA, PA 19107
Orthopaedic Surgery
833 CHESTNUT ST STE 1220
PHILADELPHIA, PA 19107

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 Jesse Wagner's NPI number?

The NPI number for Jesse Wagner is 1598415358. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Jesse Wagner located?

Jesse Wagner practices at 833 Chestnut St Ste 1220, Philadelphia, PA 19107. The listed phone number is (800) 321-9999.

What is Jesse Wagner's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Jesse Wagner enrolled in Medicare?

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

Which organizations bill Medicare for Jesse Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Wagner reassigns Medicare benefits to 2 organizations: Reconstructive Orthopaedic Associates II LLC (Philadelphia, PA) and Rothman Orthopaedics Of New Jersey, LLC (Marlton, NJ). 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 Jesse 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 Jesse Wagner was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.