TROY D WAGNER
NPI 1790732204
Physician Assistant - Surgical in Billings, MT

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
2900 12TH AVE N, SUITE 140W, BILLINGS, MT 59101(406) 238-6540(406) 238-6599 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Troy D Wagner NPPES

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

TROY D WAGNER (NPI 1790732204) is an individual surgical provider in Billings, Montana, licensed in Montana (MED-PAC-LIC-442) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1790732204
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTROY D WAGNER
Location Address2900 12TH AVE N, SUITE 140WBillings, MT 59101-7506
Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500
Fax(406) 238-6599
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 28, 2006
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
NPI 1790732204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MT · MED-PAC-LIC-442
Also ListedPhysician AssistantTaxonomy 363A00000X · License 442 (MT)
2900 12TH AVE N, Billings, MT 59101

Other Identifiers 2

Other000900323MT · Bcbs Pin
Medicaid4307970MT

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

Troy D Wagner 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 ID1456309442
PECOS Enrollment IDI20060310000483
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 10

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 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.
108 services84 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.
36 services20 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.
33 services33 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
26 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 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.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Beartooth Billings Clinic

Critical Access Hospitals · Red Lodge, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271326
Location2525 N BroadwayRed Lodge, MT 59068 · Carbon County

Stillwater Billings Clinic

Critical Access Hospitals · Columbus, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271330
Location710 N 11th StColumbus, MT 59019 · Stillwater County
Emergency services

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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$36.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
2900 12TH AVE N, STE 245W
BILLINGS, MT 59101
Clinic/Center
2900 12TH AVE N, SUITE 130W
BILLINGS, MT 59101
Clinic/Center (Multi-Specialty)
2900 12TH AVE N, SUITE 340W
BILLINGS, MT 59101
Internal Medicine
2900 12TH AVE N, SUITE 160W
BILLINGS, MT 59101
Orthopaedic Surgery (Sports Medicine)
2900 12TH AVE N, #100E
BILLINGS, MT 59101
Urology
2900 12TH AVE N, STE 503E
BILLINGS, MT 59101
Physician Assistant
2900 12TH AVE N, SUITE 140W
BILLINGS, MT 59101
Surgery
2900 12TH AVE N, STE 502E
BILLINGS, MT 59101

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 Troy Wagner's NPI number?

The NPI number for Troy Wagner is 1790732204. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Troy Wagner located?

Troy Wagner practices at 2900 12th Ave N Suite 140W, Billings, MT 59101. The listed phone number is (406) 238-6540.

What is Troy Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Troy Wagner enrolled in Medicare?

Yes. Troy 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 Troy Wagner accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Troy 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 Troy Wagner affiliated with any hospitals?

According to CMS data, Troy Wagner is affiliated with Billings Clinic, Beartooth Billings Clinic and Stillwater Billings Clinic.

When was this NPI record last updated?

The NPPES record for Troy Wagner was last updated on December 14, 2021. 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.