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DONALD C WAGNER M.D.
NPI 1811065675
Emergency Medicine in Melbourne, FL

Active since December 01, 2006PECOS Enrolled
74.99/100
CMS Quality Rating
1350 S HICKORY STREET, MELBOURNE, FL 32901(321) 254-6218(321) 254-6230 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donald C Wagner M.d. NPPES

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

DONALD C WAGNER M.D. (NPI 1811065675) is an individual emergency medicine provider in Melbourne, Florida, licensed in Florida (ME0043255) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811065675
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDONALD C WAGNERCredential: M.D.
Location Address1350 S HICKORY STREETMelbourne, FL 32901
Mailing AddressPo Box 361907Melbourne, FL 32906-1907 · (321) 254-6218 · Fax (321) 254-6320
Phone(321) 254-6218
Fax(321) 254-6230
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateFebruary 15, 2012
✔ NPI 1811065675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME0043255
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1350 S HICKORY STREET, Melbourne, FL 32901
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Other Identifiers 3

Medicare UPIND61241FL
Medicare PIN05492FL
Medicaid068252700FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald C Wagner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

74.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.19
Improvement Activities40
Cost52.94

Other Providers at the Same Location NPPES 15

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

DR. MARTY R BROWN M.D.
Emergency Medicine
1350 S HICKORY STREET
MELBOURNE, FL 32901
Brevard County (321) 254-6218
JOHNNY J VAZQUEZ M.D.
Emergency Medicine
1350 S HICKORY STREET
MELBOURNE, FL 32901
Brevard County (321) 254-6218
DR. JOHN P GRIFFIN M.D.
Emergency Medicine
1350 S HICKORY STREET
MELBOURNE, FL 32901
Brevard County (321) 254-6218
DR. AARON LEE STCLAIR M.D.
Emergency Medicine
1350 S HICKORY STREET
MELBOURNE, FL 32901
Brevard County (321) 254-6218
DOUGLAS GREEN M.D.
Emergency Medicine
1350 S HICKORY STREET
MELBOURNE, FL 32901
Brevard County (321) 254-6218
DR. RAJESH GUTTA M.D.
Emergency Medicine
1350 S HICKORY STREET
MELBOURNE, FL 32901
Brevard County (321) 254-6218
DR. RONALD T GILROY M.D.
Emergency Medicine
1350 S HICKORY STREET
MELBOURNE, FL 32901
Brevard County (321) 254-6218
CHRISTOPHER S REHAK M.D.
Emergency Medicine
1350 S HICKORY STREET
MELBOURNE, FL 32901
Brevard County (321) 254-6218

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 Donald Wagner's NPI number?

The NPI number for Donald Wagner is 1811065675. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Donald Wagner located?

Donald Wagner practices at 1350 S Hickory Street, Melbourne, FL 32901. The listed phone number is (321) 254-6218.

What is Donald Wagner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Donald Wagner enrolled in Medicare?

Yes. Donald Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donald Wagner was last updated on February 15, 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.