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DR. MICHAEL JACOB WAGNER M.D.
NPI 1912194366
Anesthesiology in Salt Lake City, UT

Active since October 01, 2007PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Dec 16, 2021 (2 updates tracked since 2021).

About Dr. Michael Jacob Wagner M.d. NPPES

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

DR. MICHAEL JACOB WAGNER M.D. (NPI 1912194366) is an individual anesthesiology provider in Salt Lake City, Utah, licensed in California (A92317) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Arizona College Of Medicine (2004).

NPPES Registry Identity

NPI1912194366
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. MICHAEL JACOB WAGNERCredential: M.D.
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing Address30 N. Mario Capecchi Dr., Helix Building 5050Salt Lake City, UT 84112 · (801) 581-6393 · Fax (801) 581-4367
Phone(801) 581-2121
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2004
Enumeration DateOctober 1, 2007
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1912194366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A92317
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
50 N MEDICAL DR, Salt Lake City, UT 84132
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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

Dr. Michael Jacob Wagner M.d. 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 ID6709155658
PECOS Enrollment IDI20170707002500
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.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

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 Michael Wagner's NPI number?

The NPI number for Michael Wagner is 1912194366. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Michael Wagner located?

Michael Wagner practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is Michael Wagner's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Michael Wagner enrolled in Medicare?

Yes. Michael 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.

Is Michael Wagner affiliated with any hospitals?

According to CMS data, Michael Wagner is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Michael Wagner was last updated on May 16, 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.