1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Dentist
  6. NPI Profile

DR. BRYAN L WAGNER D.M.D.
NPI 1629621545
Dentist - General Practice in Cleveland, OH

Active since July 19, 2019PECOS Enrolled
8300 HOUGH AVE, CLEVELAND, OH 44103(216) 231-7700(216) 231-7920 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bryan L Wagner D.m.d. NPPES

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

DR. BRYAN L WAGNER D.M.D. (NPI 1629621545) is an individual general practice provider in Cleveland, Ohio, licensed in Ohio (30.025923) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629621545
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRYAN L WAGNERCredential: D.M.D.
Location Address8300 HOUGH AVECleveland, OH 44103-4247
Mailing Address4800 Payne AveCleveland, OH 44103-2443 · (216) 231-7700 · Fax (216) 231-3828
Phone(216) 231-7700
Fax(216) 231-7920
Sole ProprietorNo
Enumeration DateJuly 19, 2019
✔ NPI 1629621545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 30.025923
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8300 HOUGH AVE, Cleveland, OH 44103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Bryan L 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 44103 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

NNENNAYA A. OKOCHA D.D.S.
Dentist
8300 HOUGH AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 231-7700
PATRICIA A SERIO CNM
Advanced Practice Midwife
8300 HOUGH AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 231-7700
SILVIA ALTOBELI RD,LD
Dietitian, Registered
8300 HOUGH AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 231-7700
DR. CONSTANCIA T. CASTRO M.D.
Pediatrics
8300 HOUGH AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 231-7700
DR. ROBERT J. CARSON PH.D.
Social Worker
8300 HOUGH AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 231-7700
YELENA BEREGOVSKAYA C.N.M.
Advanced Practice Midwife
8300 HOUGH AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 231-7700
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Clinic/Center (Primary Care)
8300 HOUGH AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 231-7700
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Pharmacy (Clinic Pharmacy)
8300 HOUGH AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 231-7700

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 Bryan Wagner's NPI number?

The NPI number for Bryan Wagner is 1629621545. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Bryan Wagner located?

Bryan Wagner practices at 8300 Hough Ave, Cleveland, OH 44103. The listed phone number is (216) 231-7700.

What is Bryan Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bryan Wagner enrolled in Medicare?

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

What insurance does Bryan Wagner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 15 other insurers list Bryan 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 Bryan Wagner was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.