DR. LAURA ELLA WAGNER M.D.
NPI 1669445060
Specialist in Chesterfield, MO

Active since February 08, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 26D0943616 · Microscopy
99.4/100
CMS Quality Rating
14377 WOODLAKE DR, SUITE 111, CHESTERFIELD, MO 63017(314) 434-1111(314) 434-1112 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Laura Ella Wagner M.d. NPPES

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

DR. LAURA ELLA WAGNER M.D. (NPI 1669445060) is an individual specialist in Chesterfield, Missouri, licensed in Missouri (R8N01) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through March 30, 2028, and is a graduate of Washington University School Of Medicine (1989).

NPPES Registry Identity

NPI1669445060
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. LAURA ELLA WAGNERCredential: M.D.
Location Address14377 WOODLAKE DR, SUITE 111Chesterfield, MO 63017-5735
Mailing Address14377 Woodlake Dr, Suite 111Chesterfield, MO 63017-5735 · (314) 434-1111 · Fax (314) 434-1112
Fax(314) 434-1112
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 1989
Enumeration DateFebruary 8, 2006
Last NPPES UpdateMay 24, 2012
NPI 1669445060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MO · R8N01
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

14377 WOODLAKE DR, Chesterfield, MO 63017

Other Identifiers 7

Other18374MO · Bcbsmo Provider #
Other211386MO · Healthlink Id#
Medicare ID-Type Unspecified000094839MO
Medicare UPINF58335MO
Other39228V39228MO · Ghp Provider #
Other4420124MO · Aetna Provider #
Other431895147MO · Tax Id#

Accepted 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. Laura Ella Wagner M.d. 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 ID5698778645
PECOS Enrollment IDI20060814000219
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0943616

Laura Wagner MD · Town And Country, MO
Active · expires Mar 30, 2028
CLIA Number26D0943616
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorLaura Wagner MD
Laboratory Phone(314) 434-1111
Laboratory LocationLaura Wagner MD14377 Woodlake Drive, Ste 111, Town And Country, MO 63017
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,994 services288 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
1,105 services807 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
489 services385 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
190 services160 patients
New patient office or other outpatient visit, 15-29 minutes 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
90 services90 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
79 services45 patients

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.

99.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,546 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,785 patients5/55-star benchmark: 100%
e-Prescribing
98%823 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%230 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 902 patients
Patients screened: 99% · 902 patients
100%37 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%1,251 patients4/55-star benchmark: 100%
Psoriasis: Clinical Response to Systemic Medications
100%22 patients
Tobacco Use and Help with Quitting Among Adolescents
100%159 patients5/55-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.

Dentist (Periodontics)
14377 WOODLAKE DR, STE 214
CHESTERFIELD, MO 63017
Dentist
14377 WOODLAKE DR, STE 206
CHESTERFIELD, MO 63017
Social Worker
14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017
Social Worker
14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017
Psychologist
14377 WOODLAKE DR, SUITE 308
CHESTERFIELD, MO 63017
Counselor
14377 WOODLAKE DR, SUITE 308
CHESTERFIELD, MO 63017
Counselor (Professional)
14377 WOODLAKE DR, SUITE 311
CHESTERFIELD, MO 63017
Counselor
14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669445060, enumerated as an "individual" on February 08, 2006.

The provider is located at 14377 WOODLAKE DR SUITE 111 CHESTERFIELD, MO 63017 and the phone number is (314) 434-1111.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: UnitedHealthcare, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.