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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN JOHN WAGNER
NPI 1871121798
Internal Medicine - Gastroenterology in Riverton, UT

Active since March 27, 2020PECOS Enrolled
3723 W 12600 S STE 270, RIVERTON, UT 84065(801) 285-4600 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 15, 2026, Mar 27, 2020 (2 updates tracked since 2020).

About Justin John Wagner NPPES

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

JUSTIN JOHN WAGNER (NPI 1871121798) is an individual gastroenterology provider in Riverton, Utah, licensed in Utah (14276836-1204) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1871121798
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJUSTIN JOHN WAGNER
Location Address3723 W 12600 S STE 270Riverton, UT 84065-7296
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 285-4600
Sole ProprietorNo
Enumeration DateMarch 27, 2020
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1871121798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in UT · 14276836-1204
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3723 W 12600 S STE 270, Riverton, UT 84065
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Secondary Practice Location 1

Location 12601 Ocean PkwyBrooklyn, NY 11235-7745 · Phone (718) 616-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin John Wagner 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 84065 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 11

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

GAYLINN BREEZE NP
Nurse Practitioner
3723 W 12600 S STE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4600
ALEX LYNCH DO
Surgery
3723 W 12600 S STE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4600
ANDREA GARCIA ALFANDRE
Nurse Practitioner
3723 W 12600 S STE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4600
HALEY MIYATAKE SUMMERHAYS CNM, WHNP
Nurse Practitioner (Women's Health)
3723 W 12600 S STE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4600
DR. JOHN LARSEN CLAYTON M.D.
Plastic Surgery
3723 W 12600 S STE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4600
DR. DYLAN BURNS ALSTON DO
Dermatology
3723 W 12600 S STE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4600
DR. ERIC ALLEN D.O.
Internal Medicine
3723 W 12600 S STE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4600
HAILI BREANN BYINGTON PA-C
Physician Assistant (Surgical)
3723 W 12600 S STE 270
RIVERTON, UT 84065
Salt Lake County (801) 285-4600

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 Justin Wagner's NPI number?

The NPI number for Justin Wagner is 1871121798. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Justin Wagner located?

Justin Wagner practices at 3723 W 12600 S Ste 270, Riverton, UT 84065. The listed phone number is (801) 285-4600.

What is Justin Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Justin Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Justin Wagner was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.