THEODORE A WAGNER MD
NPI 1811077894
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Seattle, WA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE, SEATTLE, WA 98105(206) 598-4288 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore A Wagner Md NPPES

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

THEODORE A WAGNER MD (NPI 1811077894) is an individual orthopaedic surgery of the spine provider in Seattle, Washington, licensed in Washington (MD00011315) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Temple University School Of Medicine (1968).

NPPES Registry Identity

NPI1811077894
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameTHEODORE A WAGNERCredential: MD
Location AddressUWMC-ROOSEVELT, 4245 ROOSEVELT WAY NESeattle, WA 98105-4740
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1968
Enumeration DateOctober 16, 2006
Last NPPES UpdateSeptember 28, 2011
NPI 1811077894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in WA · MD00011315
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD00011315 (WA)
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License MD00011315 (WA)
UWMC-ROOSEVELT, Seattle, WA 98105

Other Identifiers 5

Other0232121WA · L&i
Other9054Internal Id-motor Vehicle Id
Medicare UPINA05869
Medicare PIN8804991WA
Medicaid1811077894WA

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

Theodore A Wagner Md 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 ID2769452390
PECOS Enrollment IDI20040729001207
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 3

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.
36 services26 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.
25 services23 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine
UWMC-ROOSEVELT, 4245 ROOSEVELT WAY NE
SEATTLE, WA 98105
Dermatology
UWMC-ROOSEVELT, 4225 ROOSEVELT WAY NE
SEATTLE, WA 98105

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 Theodore Wagner's NPI number?

The NPI number for Theodore Wagner is 1811077894. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Theodore Wagner located?

Theodore Wagner practices at Uwmc-Roosevelt 4245 Roosevelt Way NE, Seattle, WA 98105. The listed phone number is (206) 598-4288.

What is Theodore Wagner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Theodore Wagner enrolled in Medicare?

Yes. Theodore 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 Theodore Wagner accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Theodore 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 Theodore Wagner affiliated with any hospitals?

According to CMS data, Theodore Wagner is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Theodore Wagner was last updated on September 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.