1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Dentist
  6. NPI Profile

DR. ELIZABETH ANN WAGNER DMD
NPI 1659545184
Dentist - Oral and Maxillofacial Surgery in Philadelphia, PA

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
100 E LEHIGH AVE, PHILADELPHIA, PA 19125(215) 707-3613 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elizabeth Ann Wagner Dmd NPPES

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

DR. ELIZABETH ANN WAGNER DMD (NPI 1659545184) is an individual oral and maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS036569) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2005).

NPPES Registry Identity

NPI1659545184
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ELIZABETH ANN WAGNERCredential: DMD
Location Address100 E LEHIGH AVEPhiladelphia, PA 19125-1012
Mailing Address1003 Hancock CtDeptford, NJ 08096-5122 · (215) 837-3658
Phone(215) 707-3613
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2005
Enumeration DateApril 16, 2008
✔ NPI 1659545184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS036569
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
100 E LEHIGH AVE, Philadelphia, PA 19125
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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 and accepts Medicare assignment

Dr. Elizabeth Ann Wagner Dmd 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 ID8729117346
PECOS Enrollment IDI20100520000045
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients
X-ray of skull, 1-3 views 70250
An X-ray of the skull involves capturing images of the bones and tissues in your head. This test helps identify issues like fractures, infections, or tumors. The '1-3 views' means pictures will be taken from one to three different angles for a comprehensive assessment.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19125 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

ROBERT ERIC SIMONS
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1200
EILEEN ZHOU MD
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1200
MADHULATHA PAUL MD
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE, MAB BLDG STE 105
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-8496
HARGROW DEXTER BARBER DDS
Dentist (Oral and Maxillofacial Surgery)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-3613
GABRIEL SANCHEZ-ALDANA JR. M.D.
Family Medicine
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1866
TEMPLE PHYSICIANS INC.
Internal Medicine
100 E LEHIGH AVE, CHC - 1
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1866
TEMPLE PHYSICIANS INC.
Internal Medicine (Cardiovascular Disease)
100 E LEHIGH AVE, MAB 110
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1136
DR. RUBY HASSANYEH BARGHINI M.D.
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-8496

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 Elizabeth Wagner's NPI number?

The NPI number for Elizabeth Wagner is 1659545184. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Elizabeth Wagner located?

Elizabeth Wagner practices at 100 E Lehigh Ave, Philadelphia, PA 19125. The listed phone number is (215) 707-3613.

What is Elizabeth Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Elizabeth Wagner enrolled in Medicare?

Yes. Elizabeth 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.

What insurance does Elizabeth Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Elizabeth 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 Elizabeth Wagner was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.