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CLAYTON THOMAS WAGNER
NPI 1902303589
Family Medicine in Apple Valley, MN

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
15350 ENGLISH AVE, APPLE VALLEY, MN 55124(952) 431-8500 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2024, Jul 13, 2021, Apr 10, 2018 (3 updates tracked since 2018).

About Clayton Thomas Wagner NPPES

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

CLAYTON THOMAS WAGNER (NPI 1902303589) is an individual family medicine provider in Apple Valley, Minnesota, licensed in Minnesota (68745) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Northfield Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902303589
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLAYTON THOMAS WAGNER
Location Address15350 ENGLISH AVEApple Valley, MN 55124-6252
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516
Phone(952) 431-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1902303589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 68745
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.
15350 ENGLISH AVE, Apple Valley, MN 55124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clayton Thomas Wagner 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 ID2860749439
PECOS Enrollment IDI20210723001226, I20240621001242
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Clayton Wagner reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics
0.7 mi
Primary Care
15650 CEDAR AVE
Apple Valley, MN 55124
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1811550155 (Wisconsin)
  • 2,302 clinicians in this Medicare group
NPI 1649462508 (952) 997-4100
Group Health, Inc.
2.0 mi
General Practice
15350 ENGLISH AVE
Apple Valley, MN 55124
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1710924683 (Wisconsin)
  • 2,274 clinicians in this Medicare group
NPI 1073668877 (952) 431-8583
Fairview Health Services
3.0 mi
General Acute Care Hospital
201 E NICOLLET BLVD, OUTREACH LAB DEPARTMENT
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1225199128 (952) 892-2085
Northfield Hospital
6.9 mi
Urgent Care
4645 KNUTSEN DR
Farmington, MN 55024
  • Reassigned Medicare billing, Minnesota enrollment
  • 249 clinicians in this Medicare group
NPI 1336934108 (651) 460-2300
Healtheast Medical Research Institute
15 mi
Clinic/Center
870 GRAND AVE
Saint Paul, MN 55105
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1730128398 (651) 326-5650
Altea Medical Minnesota PLLC
72 mi
Geriatric Medicine
1717 UNIVERSITY DR SE
Saint Cloud, MN 56304
  • Reassigned Medicare billing, Minnesota enrollment
  • 15 clinicians in this Medicare group
NPI 1245022565 (888) 408-7008
Post Acute Medical PLLC
930 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Minnesota enrollment
  • 15 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 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.
102 services71 patients
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.
77 services47 patients
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.
60 services55 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.
28 services28 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
14 services13 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Northfield Hospital

Acute Care Hospitals · Northfield, MN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240014
Location2000 North AvenueNorthfield, MN 55057 · Rice County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

ALYSSA KONG DNP, APRN, FNP-C
Nurse Practitioner
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-8500
JAMIE GAMACHE MD
Obstetrics & Gynecology
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-8500
JOHN BOETTGER
Physician Assistant
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-8500
GROUP HEALTH, INC.
Dentist (General Practice)
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-8583
JENNIFER ANNE HAGEN
Obstetrics & Gynecology
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-8500
MS. RHEA SCHUMACHER FORD M.D.
Family Medicine
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-8500
KAITLAN VOSSEN MD
Family Medicine
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-8500
SARA JO LEHRER PA-C
Physician Assistant
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-8500

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 Clayton Wagner's NPI number?

The NPI number for Clayton Wagner is 1902303589. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Clayton Wagner located?

Clayton Wagner practices at 15350 English Ave, Apple Valley, MN 55124. The listed phone number is (952) 431-8500.

What is Clayton Wagner's specialty?

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

Is Clayton Wagner enrolled in Medicare?

Yes. Clayton 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.

Which organizations bill Medicare for Clayton Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Wagner reassigns Medicare benefits to 7 organizations: Fairview Clinics (Apple Valley, MN), Group Health, Inc. (Apple Valley, MN), Fairview Health Services (Burnsville, MN), Northfield Hospital (Farmington, MN), Healtheast Medical Research Institute (Saint Paul, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clayton Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Clayton 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 Clayton Wagner affiliated with any hospitals?

According to CMS data, Clayton Wagner is affiliated with Northfield Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Wagner was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.