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MR. PHILLIP LEROY WAGNER MD
NPI 1912931619
Preventive Medicine - Occupational Medicine in Vallejo, CA

Active since July 10, 2006PECOS Enrolled
975 SERENO DR, OCCUPATIONAL MEDICINE, VALLEJO, CA 94589(707) 651-2243 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2021, Aug 3, 2021 (2 updates tracked since 2021).

About Mr. Phillip Leroy Wagner Md NPPES

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

MR. PHILLIP LEROY WAGNER MD (NPI 1912931619) is an individual occupational medicine provider in Vallejo, California, licensed in New Mexico (20060083) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912931619
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameMR. PHILLIP LEROY WAGNERCredential: MD
Location Address975 SERENO DR, OCCUPATIONAL MEDICINEVallejo, CA 94589-2441
Mailing Address1220 Illinois StVallejo, CA 94590-3910 · (707) 246-5744
Phone(707) 651-2243
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1912931619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in NM · 20060083
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
975 SERENO DR, Vallejo, CA 94589
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Other Identifiers 1

Medicaid087585AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Phillip Leroy Wagner Md 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 94589 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

DR. ROBERTA YIWUN WANG M.D.
Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-5128
RIHONG ZHOU
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-2072
EVAN HIRSCHBEIN
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 339-2074
MS. JEAN BROADNAX LCSW
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4423
SEAN NISAM
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4071
LI M. TSANG MD
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
DONN R. ERICKSON MD
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
JOHN S. WOOD MD
Surgery
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000

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 Phillip Wagner's NPI number?

The NPI number for Phillip Wagner is 1912931619. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Phillip Wagner located?

Phillip Wagner practices at 975 Sereno Dr Occupational Medicine, Vallejo, CA 94589. The listed phone number is (707) 651-2243.

What is Phillip Wagner's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Phillip Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Phillip Wagner was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.