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

Q: 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.

Q: What is Ida Wagner's specialty?

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

Q: 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.

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: November 01, 2026.

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

On this page

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

Phone(215) 707-3933

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

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Other Names 1

Former Name (1)Ida Janelle Dugger

Secondary Practice Locations 3

Location 1570 Egg Harbor Rd Ste B1Sewell, NJ 08080-2359 · Phone (856) 341-8495

Location 21311 Fairview Blvd Ste BDelran, NJ 08075-1474 · Phone (856) 764-8804

Location 3200 Bowman Dr Ste E140Voorhees, NJ 08043-9631 · Phone (856) 983-4263 · Fax (856) 983-9362

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ida Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virtua Medical Group, PA

8.6 mi

Urgent Care

602 W CUTHBERT BLVD UNIT 26 STE A
Haddon Township, NJ 08108

Reassigned Medicare billing, New Jersey enrollment
2,074 clinicians in this Medicare group

NPI 1932659778 (856) 946-5180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

31 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services22 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

23 services20 patients

Injection of medication into palm 20527

An injection into the palm is a procedure where a healthcare provider inserts a small needle into your palm to deliver medication. This method targets specific areas, aiding in pain relief or treatment of certain conditions. The process is quick and is usually done under local anesthesia.

19 services13 patients

Manipulation of finger for connective tissue release following enzyme injection 26341

This procedure involves injecting an enzyme into your finger to soften the connective tissue. Following the injection, your doctor will gently manipulate or move your finger. This helps to break down hardened tissue, improving finger mobility and reducing discomfort.

19 services13 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

19 services17 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

17 services14 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

17 services17 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

12 services12 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 Interoperability

100

Improvement Activities

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.

KEWAL KRISHAN MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

3509 N BROAD ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 707-8484

KURT KUNZ M.D.

Internal Medicine

3509 N BROAD ST, SUITE 226
PHILADELPHIA, PA 19140

Philadelphia County (267) 512-4313

MEGHANA ASHOK PATIL

Internal Medicine (Cardiovascular Disease)

3509 N BROAD ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 707-8484

TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

Psychiatry & Neurology (Neurology)

3509 N BROAD ST, FL 6 EAST TUCMC
PHILADELPHIA, PA 19140

Philadelphia County (215) 707-6613

ROSHANI NARENDRAKUMAR PATEL PA-C

Physician Assistant

3509 N BROAD ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 707-8484

DR. CHRISTOPHER WILLIAM AHMED MD

Ophthalmology

3509 N BROAD ST
PHILADELPHIA, PA 19140

Philadelphia County (800) 836-7536

RICHARD TIM LACHMAN MD

Psychiatry & Neurology (Neurology)

3509 N BROAD ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 707-3040

TEMPLE FACULTY PRACTICE PLAN, INC

Otolaryngology

3509 N BROAD ST
PHILADELPHIA, PA 19140

Philadelphia County (215) 707-3663

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.

Which organization bills Medicare for Ida Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ida Wagner reassigns Medicare benefits to Virtua Medical Group, PA (Haddon Township, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ida Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ida Wagner accept?

Health plans from Oscar Health 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.