JARED WAGNER MD
NPI 1679154090
Radiology - Diagnostic Radiology in Grand Rapids, MI

Q: What is Jared Wagner's NPI number?

The NPI number for Jared Wagner is 1679154090. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Q: What is Jared Wagner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jared Wagner was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 16, 2021PECOS Enrolled

100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503(616) 391-3245 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2025, Apr 16, 2021 (2 updates tracked since 2021).

On this page

About Jared Wagner Md NPPES

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

JARED WAGNER MD (NPI 1679154090) is an individual diagnostic radiology provider in Grand Rapids, Michigan, licensed in Michigan (4351048222) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679154090

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJARED WAGNERCredential: MD

Location Address100 MICHIGAN ST NE STE A601Grand Rapids, MI 49503-2560

Mailing Address100 Michigan St Ne Ste A601Grand Rapids, MI 49503-2560 · (616) 391-3245

Phone(616) 391-3245

Sole ProprietorNo

Enumeration DateApril 16, 2021

Last NPPES UpdateJune 22, 20252 updates tracked since enumeration

NPPES CertifiedJune 22, 2025

✔ NPI 1679154090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MI · 4351048222

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

100 MICHIGAN ST NE STE A601, Grand Rapids, MI 49503

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Wagner Md 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 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $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.

ERIN LOUISE MUELLER MD

Surgery