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NATHAN VINCENT WAGSTAFF MD
NPI 1669429825
Obstetrics & Gynecology in Detroit, MI

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
83.35/100
CMS Quality Rating
22151 MOROSS RD, 313, DETROIT, MI 48236(313) 343-3494(313) 343-4932 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathan Vincent Wagstaff Md NPPES

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

NATHAN VINCENT WAGSTAFF MD (NPI 1669429825) is an individual obstetrics & gynecology provider in Detroit, Michigan and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Wayne State University School Of Medicine (2002).

NPPES Registry Identity

NPI1669429825
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameNATHAN VINCENT WAGSTAFFCredential: MD
Location Address22151 MOROSS RD, 313Detroit, MI 48236-2167
Mailing Address43800 Garfield RdClinton Twp, MI 48038-1136 · (800) 848-0202 · Fax (586) 226-6949
Phone(313) 343-3494
Fax(313) 343-4932
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2002
Enumeration DateMay 30, 2006
Last NPPES UpdateJuly 19, 2007
✔ NPI 1669429825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
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.
22151 MOROSS RD, Detroit, MI 48236
Open in Google Maps ↗

Other Identifiers 2

Other5315026029MI · Controlled Substance
Medicare ID-Type UnspecifiedOM71670

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 and accepts Medicare assignment

Nathan Vincent Wagstaff 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 ID9739191594
PECOS Enrollment IDI20060616000024
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

Reported Quality Measures

Breast Cancer Screening
59%99 patients3/55-star benchmark: 93%
Cervical Cancer Screening
83%600 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
40%177 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
63%112 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
38%56 patients3/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%596 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%869 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 32% · 658 patients
Patients screened: 35% · 658 patients
60%43 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

AMITA MILIND HINGE MD
Student in an Organized Health Care Education/Training Program
22151 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4867
MUHAMMAD FAISAL ASLAM M.D.
Obstetrics & Gynecology
22151 MOROSS RD, SUITE 313
DETROIT, MI 48236
Wayne County (313) 343-3494
TORRI ELLIOTT LMSW
Social Worker (Clinical)
22151 MOROSS RD, PB1 SUITE 334
DETROIT, MI 48236
Wayne County (313) 343-7230
AMIR MOHAMMAD DANESHVAR
Internal Medicine
22151 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4850
KELSEY MARIE LEMMEN M.D.
Internal Medicine (Rheumatology)
22151 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4850
MARCELLA MAREA PAYNE-CHARLEY LPC
Counselor (Professional)
22151 MOROSS RD, PB1, STE. 334
DETROIT, MI 48236
Wayne County (313) 343-7230
MRS. NICOLE DAWN FRANZONI CRNA
Nurse Anesthetist, Certified Registered
22151 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
STACEY ALISE JOINER LPC
Counselor (Professional)
22151 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-7230

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 Nathan Wagstaff's NPI number?

The NPI number for Nathan Wagstaff is 1669429825. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Nathan Wagstaff located?

Nathan Wagstaff practices at 22151 Moross Rd 313, Detroit, MI 48236. The listed phone number is (313) 343-3494.

What is Nathan Wagstaff's specialty?

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

Is Nathan Wagstaff enrolled in Medicare?

Yes. Nathan Wagstaff 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 Nathan Wagstaff accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Nathan Wagstaff 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.

Is Nathan Wagstaff affiliated with any hospitals?

According to CMS data, Nathan Wagstaff is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Wagstaff was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.