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DR. FREDERICK WAGNER M.D.
NPI 1770589053
Anesthesiology in Glen Carbon, IL

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
5921 MERIDIAN WOODS DRIVE, GLEN CARBON, IL 62034(618) 391-5883 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Frederick Wagner M.d. NPPES

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

DR. FREDERICK WAGNER M.D. (NPI 1770589053) is an individual anesthesiology provider in Glen Carbon, Illinois, licensed in Illinois (036124604) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Saint Louis University School Of Medicine (1997).

NPPES Registry Identity

NPI1770589053
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. FREDERICK WAGNERCredential: M.D.
Location Address5921 MERIDIAN WOODS DRIVEGlen Carbon, IL 62034-1545
Mailing Address150 Bluff AveNorth Augusta, SC 29841-3862 · (800) 394-4445 · Fax (706) 396-3252
Phone(618) 391-5883
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1997
Enumeration DateJune 22, 2005
Last NPPES UpdateApril 14, 2017
✔ NPI 1770589053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in IL · 036124604✔ Licensed in MO · 113352
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5921 MERIDIAN WOODS DRIVE, Glen Carbon, IL 62034
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Other Identifiers 5

Medicaid1770589053IL
Medicare UPING99625MO
Medicare PIN055010325MO
Medicaid205374309MO
Medicare PINIL3454007IL

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

Dr. Frederick 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 ID244288264
PECOS Enrollment IDI20050106000584, I20100721000679
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 Reassignments

3

Medicare enrollment records show Frederick Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Millennium Anesthesiology Consultants, LLC
3.0 mi
Anesthesiology
6800 STATE ROUTE 162
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 42 clinicians in this Medicare group
NPI 1710218094 (618) 391-5589
G & G Anesthesia LLC
3.1 mi
Nurse Anesthetist, Certified Registered
2023 VADALABENE DR STE 350
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 149 clinicians in this Medicare group
NPI 1487020111 (618) 205-8302
Millennium Anesthesiology Consultants LLC
38 mi
Anesthesiology
144 S EATHERTON RD
Chesterfield, MO 63005
  • Reassigned Medicare billing, Missouri enrollment
  • 8 clinicians in this Medicare group
NPI 1730033713 (314) 492-1112

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 6

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
51 services51 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
24 services24 patients
Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
16 services16 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
14 services14 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
13 services13 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

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 Frederick Wagner's NPI number?

The NPI number for Frederick Wagner is 1770589053. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Frederick Wagner located?

Frederick Wagner practices at 5921 Meridian Woods Drive, Glen Carbon, IL 62034. The listed phone number is (618) 391-5883.

What is Frederick Wagner's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Frederick Wagner enrolled in Medicare?

Yes. Frederick 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 organizations bill Medicare for Frederick Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Wagner reassigns Medicare benefits to 3 organizations: Millennium Anesthesiology Consultants, LLC (Maryville, IL), G & G Anesthesia LLC (Maryville, IL) and Millennium Anesthesiology Consultants LLC (Chesterfield, MO). Each 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 Frederick Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Frederick Wagner affiliated with any hospitals?

According to CMS data, Frederick Wagner is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Frederick Wagner was last updated on April 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.