IDA JANELLE WAGNER M.D.
NPI 1689839177
Surgery in Philadelphia, PA

Active since July 23, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3509 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3933(215) 707-2531 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2022, Jul 27, 2022, Jul 6, 2022 and 2 more (5 updates tracked since 2017).

About Ida Janelle Wagner M.d. NPPES

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

IDA JANELLE WAGNER M.D. (NPI 1689839177) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA11470600) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689839177
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameIDA JANELLE WAGNERCredential: M.D.
Location Address3509 N BROAD STPhiladelphia, PA 19140-4105
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-3933 · Fax (215) 707-2531
Fax(215) 707-2531
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 23, 2008
Last NPPES UpdateAugust 24, 20225 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1689839177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in NJ · 25MA11470600 Licensed in PA · MD434346
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3509 N BROAD ST, Philadelphia, PA 19140

Other Names 1

Former Name (1)Ida Janelle Dugger

Secondary Practice Locations 3

Location 11311 Fairview Blvd Ste BDelran, NJ 08075-1474 · Phone (856) 764-8804
Location 2570 Egg Harbor Rd Ste B1Sewell, NJ 08080-2359 · Phone (856) 341-8495
Location 3200 Bowman Dr Ste E140Voorhees, NJ 08043-9631 · Phone (856) 983-4263 · Fax (856) 983-9362

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

Ida Janelle 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 ID8921176082
PECOS Enrollment IDI20220607000305
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 15

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.

Injection, collagenase, clostridium histolyticum, 0.01 mg J0775
This is an injection of a medication called collagenase clostridium histolyticum, used to treat certain medical conditions by breaking down collagen, a protein in the body. It helps to dissolve excess collagen and improve your condition.
1,710 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
148 services148 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
119 services70 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
110 services75 patients
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.
104 services90 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
70 services52 patients

Hospital Affiliations CMS Care Compare 3

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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.

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.

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

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3509 N BROAD ST, SUITE 226
PHILADELPHIA, PA 19140
Psychiatry & Neurology (Neurology)
3509 N BROAD ST, FL 6 EAST TUCMC
PHILADELPHIA, PA 19140
Physician Assistant
3509 N BROAD ST
PHILADELPHIA, PA 19140
Ophthalmology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Psychiatry & Neurology (Neurology)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Otolaryngology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140

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 Ida Wagner's NPI number?

The NPI number for Ida Wagner is 1689839177. It was assigned to this individual provider in the NPPES registry on July 23, 2008. The provider is also known as Ida Janelle Dugger.

Where is Ida Wagner located?

Ida Wagner practices at 3509 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3933.

What is Ida Wagner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ida Wagner enrolled in Medicare?

Yes. Ida 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 Ida Wagner accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ida 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.

Is Ida Wagner affiliated with any hospitals?

According to CMS data, Ida Wagner is affiliated with West Jersey Hospital, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Ida Wagner was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.