TIMOTHY J WAGNER MD
NPI 1851372619
Family Medicine in Shiner, TX

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
124 E WOLTERS 2ND, SHINER, TX 77984(361) 594-3824(361) 594-4104 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy J Wagner Md NPPES

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

TIMOTHY J WAGNER MD (NPI 1851372619) is an individual family medicine provider in Shiner, Texas, licensed in Texas (J0340) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1851372619
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY J WAGNERCredential: MD
Location Address124 E WOLTERS 2NDShiner, TX 77984-7109
Mailing AddressPo Box 965Shiner, TX 77984-0965 · (361) 594-3824 · Fax (361) 594-4104
Fax(361) 594-4104
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 18, 2008
NPI 1851372619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J0340
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
124 E WOLTERS 2ND, Shiner, TX 77984

Other Identifiers 5

Medicare UPINE95914
Other836T776TX · Blue Cross
Other82Y592TX · Bc
Medicare ID-Type Unspecified83T776
Medicaid135624802TX

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

Timothy J 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 ID8628065075
PECOS Enrollment IDI20100614000054
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 21

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
215 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
117 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
104 services103 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
100 services100 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
100 services100 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
97 services97 patients

Hospital Affiliations CMS Care Compare 4

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Gonzales, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450235
Location1110 North Sarah Dewitt DriveGonzales, TX 78629 · Gonzales County
Birthing friendly

Yoakum Community Hospital

Critical Access Hospitals · Yoakum, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451346
Location1200 Carl Ramert DriveYoakum, TX 77995 · Lavaca County
Emergency services

Lavaca Medical Center

Critical Access Hospitals · Hallettsville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451376
Location1400 North Texana StreetHallettsville, TX 77964 · Lavaca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77984 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%56 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%122 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims30 services$6.75 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims13 services$39.76 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers12 claims12 services$19.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers20 claims54 services$3.05 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier11 claims11 services$17.15 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier22 claims22 services$48.39 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 4

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

Family Medicine
124 E WOLTERS 2ND
SHINER, TX 77984
Family Medicine
124 E WOLTERS 2ND
SHINER, TX 77984
Family Medicine
124 E WOLTERS 2ND
SHINER, TX 77984
Clinic/Center (Rural Health)
124 E WOLTERS 2ND
SHINER, TX 77984

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 Timothy Wagner's NPI number?

The NPI number for Timothy Wagner is 1851372619. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Timothy Wagner located?

Timothy Wagner practices at 124 E Wolters 2nd, Shiner, TX 77984. The listed phone number is (361) 594-3824.

What is Timothy Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Wagner enrolled in Medicare?

Yes. Timothy 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 Timothy Wagner accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Timothy 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 Timothy Wagner affiliated with any hospitals?

According to CMS data, Timothy Wagner is affiliated with Citizens Medical Center, Memorial Hospital, Yoakum Community Hospital and Lavaca Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Wagner was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.