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

Q: 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.

Q: What is Clayton Wagner's specialty?

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

Q: 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 22 months 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.

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: August 09, 2026.

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

On this page

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 HealthPartners, Medica.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

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.

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