SAMUEL KEVIN WAGNER DO
NPI 1891324125
Internal Medicine in Grove City, OH

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
5300 N MEADOWS DR, GROVE CITY, OH 43123(614) 663-4550(614) 663-4555 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 22, 2023, Apr 7, 2020 (2 updates tracked since 2020).

About Samuel Kevin Wagner Do NPPES

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

SAMUEL KEVIN WAGNER DO (NPI 1891324125) is an individual internal medicine provider in Grove City, Ohio, licensed in Ohio (34.016708) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Ohio University, College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1891324125
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL KEVIN WAGNERCredential: DO
Location Address5300 N MEADOWS DRGrove City, OH 43123-2546
Mailing Address5300 N Meadows Dr, Bldg 2 Ste 4800Grove City, OH 43123-2546 · (614) 663-4550 · Fax (614) 663-4555
Fax(614) 663-4555
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
NPI 1891324125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 34.016708
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5300 N MEADOWS DR, Grove City, OH 43123

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

Samuel Kevin Wagner Do 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 ID4183049976
PECOS Enrollment IDI20240219002281
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.

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Student in an Organized Health Care Education/Training Program
5300 N MEADOWS DR
GROVE CITY, OH 43123
Student in an Organized Health Care Education/Training Program
5300 N MEADOWS DR
GROVE CITY, OH 43123
Nurse Practitioner (Family)
5300 N MEADOWS DR
GROVE CITY, OH 43123
Nurse Practitioner
5300 N MEADOWS DR
GROVE CITY, OH 43123
Internal Medicine
5300 N MEADOWS DR
GROVE CITY, OH 43123
Nurse Practitioner
5300 N MEADOWS DR
GROVE CITY, OH 43123
Surgery
5300 N MEADOWS DR
GROVE CITY, OH 43123
Student in an Organized Health Care Education/Training Program
5300 N MEADOWS DR
GROVE CITY, OH 43123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891324125, enumerated as an "individual" on April 07, 2020.

The provider is located at 5300 N MEADOWS DR GROVE CITY, OH 43123 and the phone number is (614) 663-4550.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Oscar Health Insurance and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.

Samuel Wagner is affiliated with: MOUNT CARMEL EAST & WEST.