DR. DAVID WAGNER M.D.
NPI 1700804077
Pediatrics in Pleasant Hill, CA
About Dr. David Wagner M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID WAGNER M.D. (NPI 1700804077) is an individual pediatrics provider in Pleasant Hill, California, licensed in California (G55652) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. David Wagner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show David Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Walnut Creek, CA 94597
- Reassigned Medicare billing, California enrollment
- 650 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94523 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PLEASANT HILL, CA 94523
PLEASANT HILL, CA 94523
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 David Wagner's NPI number?
The NPI number for David Wagner is 1700804077. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is David Wagner located?
David Wagner practices at 91 Gregory Ln Suite 15, Pleasant Hill, CA 94523. The listed phone number is (925) 685-0843.
What is David Wagner's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is David Wagner enrolled in Medicare?
Yes. David Wagner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for David Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Wagner reassigns Medicare benefits to John Muir Physician Network (Walnut Creek, CA). 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 David Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Wagner was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. David Wagner, M.D. · NPI 1700804077
Pediatrics physician in Pleasant Hill, California. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1700804077 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** G55652 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 91 GREGORY LN, SUITE 15, Pleasant Hill, CA 94523-4981
- **Phone:** (925) 685-0843 · **Fax:** (925) 685-1899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** John Muir Physician Network (NPI 1841407665, Walnut Creek, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2012
- **Other identifiers:** Medicare UPIN F51410 (CA); Medicare PIN 00G556521 (CA); Medicaid 00G556520 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1700804077) · Data from the CMS NPPES public registry.