1. Home
  2. Directory
  3. Massachusetts
  4. Watertown
  5. Internal Medicine
  6. NPI Profile

AUDREY SUSAN WAGNER M.D.
NPI 1639127152
Internal Medicine in Watertown, MA

Active since May 05, 2006PECOS Enrolled
485 ARSENAL ST, INTERNAL MEDICINE, WATERTOWN, MA 02472(617) 972-5200(617) 972-5512 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Audrey Susan Wagner M.d. NPPES

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

AUDREY SUSAN WAGNER M.D. (NPI 1639127152) is an individual internal medicine provider in Watertown, Massachusetts, licensed in Massachusetts (76506) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639127152
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAUDREY SUSAN WAGNERCredential: M.D.
Location Address485 ARSENAL ST, INTERNAL MEDICINEWatertown, MA 02472-5091
Mailing Address147 Milk St, Provider Enrollment - 9th FloorBoston, MA 02109-4806 · (617) 559-8374
Phone(617) 972-5200
Fax(617) 972-5512
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 27, 2011
✔ NPI 1639127152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 76506
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
485 ARSENAL ST, Watertown, MA 02472
Open in Google Maps ↗

Other Identifiers 7

OtherV467MA · Harvard Pilgrim
Medicare UPINF48587MA
Other0015296MA · Neighborhood Health
OtherJ17306MA · Blue Cross
Medicaid3196241MA
Other076506MA · Tufts
Medicare PINA22896MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Susan 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services28 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
15 services15 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02472 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

SERGEY ZOTOV
Technician/Technologist (Optician)
485 ARSENAL ST
WATERTOWN, MA 02472
Middlesex County (617) 923-2022
SUSAN R. LIU MD
Pediatrics
485 ARSENAL ST
WATERTOWN, MA 02472
Middlesex County (617) 972-5570
ATRIUS HEALTH, INC.
Internal Medicine
485 ARSENAL ST
WATERTOWN, MA 02472
Middlesex County (617) 972-5100
CAROLYN M DOBIES NP
Nurse Practitioner (Family)
485 ARSENAL ST
WATERTOWN, MA 02472
Middlesex County (617) 972-5100
SARAH FAWCETT NP
Nurse Practitioner (Family)
485 ARSENAL ST
WATERTOWN, MA 02472
Middlesex County (617) 972-5100
RANJANA RAJEEV MUNDHE MD
Internal Medicine
485 ARSENAL ST, HARVARD VANGUARD MEDICAL ASSOCIATES
WATERTOWN, MA 02472
Middlesex County (617) 972-5200
DR. SUBBULUXMI NATARAJAN MD
Internal Medicine
485 ARSENAL ST
WATERTOWN, MA 02472
Middlesex County (617) 972-5100
KAITLYN M. SHOELSON
Physician Assistant
485 ARSENAL ST
WATERTOWN, MA 02472
Middlesex County (617) 972-5230

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 Audrey Wagner's NPI number?

The NPI number for Audrey Wagner is 1639127152. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Audrey Wagner located?

Audrey Wagner practices at 485 Arsenal St Internal Medicine, Watertown, MA 02472. The listed phone number is (617) 972-5200.

What is Audrey Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Audrey Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Audrey Wagner was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.