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SAMANTHA KAY WAGNER MD
NPI 1619557204
Obstetrics & Gynecology in Bishop, CA

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
153 PIONEER LN STE B, BISHOP, CA 93514(760) 873-2623(760) 873-2626 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Apr 9, 2021 (2 updates tracked since 2021).

About Samantha Kay Wagner Md NPPES

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

SAMANTHA KAY WAGNER MD (NPI 1619557204) is an individual obstetrics & gynecology provider in Bishop, California, licensed in California (A195936) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2021).

NPPES Registry Identity

NPI1619557204
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSAMANTHA KAY WAGNERCredential: MD
Location Address153 PIONEER LN STE BBishop, CA 93514-2517
Mailing Address150 Pioneer LnBishop, CA 93514-2556 · (760) 873-5811 · Fax (760) 872-5843
Phone(760) 873-2623
Fax(760) 873-2626
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1619557204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A195936
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
153 PIONEER LN STE B, Bishop, CA 93514
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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

Samantha Kay Wagner Md 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 ID2961984406
PECOS Enrollment IDI20260304002653
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 93514 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 16

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

MARGO MARIE LELLA APRN, FNP
Nurse Practitioner (Family)
153 PIONEER LN STE B
BISHOP, CA 93514
Mono County (760) 873-2849
DR. THOMAS JOSEPH BOO MD
Family Medicine
153 PIONEER LN STE B
BISHOP, CA 93514
Mono County (760) 873-2849
ROBYN LISA LEE CNM
Advanced Practice Midwife
153 PIONEER LN STE B
BISHOP, CA 93514
Mono County (760) 873-5811
UTTAMA SHARMA MD
Family Medicine
153 PIONEER LN STE B
BISHOP, CA 93514
Mono County (760) 873-2849
JENNIFER FIGUEROA PA
Physician Assistant
153 PIONEER LN STE B
BISHOP, CA 93514
Mono County (760) 873-2602
NORTHERN INYO HEALTHCARE DISTRICT
Clinic/Center (Rural Health)
153 PIONEER LN STE B
BISHOP, CA 93514
Mono County (760) 873-2849
JENNIFER L. NORRIS CNM
Advanced Practice Midwife
153 PIONEER LN STE B
BISHOP, CA 93514
Mono County (760) 873-2602
MS. LOIS ALEXANDER FNP
Nurse Practitioner
153 PIONEER LN STE B
BISHOP, CA 93514
Mono County (760) 873-2849

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 Samantha Wagner's NPI number?

The NPI number for Samantha Wagner is 1619557204. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Samantha Wagner located?

Samantha Wagner practices at 153 Pioneer Ln Ste B, Bishop, CA 93514. The listed phone number is (760) 873-2623.

What is Samantha Wagner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Samantha Wagner enrolled in Medicare?

Yes. Samantha 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.

When was this NPI record last updated?

The NPPES record for Samantha Wagner was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.