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DR. KENDALL DARREN WAGNER M.D.
NPI 1699091264
Internal Medicine in Fort Smith, AR

Active since April 07, 2010PECOS EnrolledAccepts Medicare Assignment
11300 ROBERTS BLVD, FORT SMITH, AR 72916(479) 242-5910(479) 688-0169 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Oct 7, 2021, Nov 25, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Kendall Darren Wagner M.d. NPPES

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

DR. KENDALL DARREN WAGNER M.D. (NPI 1699091264) is an individual internal medicine provider in Fort Smith, Arkansas, licensed in Arkansas (E-8349) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2010).

NPPES Registry Identity

NPI1699091264
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENDALL DARREN WAGNERCredential: M.D.
Location Address11300 ROBERTS BLVDFort Smith, AR 72916-6027
Mailing Address11300 Roberts BlvdFort Smith, AR 72916-6027 · (479) 242-5910 · Fax (479) 688-0169
Phone(479) 242-5910
Fax(479) 688-0169
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2010
Enumeration DateApril 7, 2010
Last NPPES UpdateJune 13, 20244 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1699091264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · E-8349
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License E-8349 (AR)
Also ListedPediatricsTaxonomy 208000000X · License E-8349 (AR)
11300 ROBERTS BLVD, Fort Smith, AR 72916
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Other Identifiers 1

Medicaid202855001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Dr. Kendall Darren 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 ID244454916
PECOS Enrollment IDI20140619001531
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 2

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.

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.
50 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72916 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIMARY CARE COLLECTIVE, PLLC
Family Medicine
11300 ROBERTS BLVD
FORT SMITH, AR 72916
Sebastian County (479) 242-5910
KENDALL D. WAGNER, M.D., PLLC
Clinic/Center (Primary Care)
11300 ROBERTS BLVD
FORT SMITH, AR 72916
Sebastian County (000) 000-0000
CHAFFEE DIAGNOSTICS LLC
Clinic/Center (Radiology)
11300 ROBERTS BLVD
FORT SMITH, AR 72916
Sebastian County (479) 434-6205
DR. WILLIAM JUSTIN HAYES M.D.
Family Medicine
11300 ROBERTS BLVD, CHAFFEE CROSSING CLINIC
FORT SMITH, AR 72916
Sebastian County (479) 434-6205

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 Kendall Wagner's NPI number?

The NPI number for Kendall Wagner is 1699091264. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Kendall Wagner located?

Kendall Wagner practices at 11300 Roberts Blvd, Fort Smith, AR 72916. The listed phone number is (479) 242-5910.

What is Kendall Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kendall Wagner enrolled in Medicare?

Yes. Kendall 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 Kendall Wagner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Kendall 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.

When was this NPI record last updated?

The NPPES record for Kendall Wagner was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.