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DR. JESS BRUCE WAGNER M.D.
NPI 1942301593
Internal Medicine in Port Royal, SC

Active since September 26, 2006PECOS Enrolled
1320 RIBAUT RD, PORT ROYAL, SC 29935(843) 986-0900 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jess Bruce Wagner M.d. NPPES

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

DR. JESS BRUCE WAGNER M.D. (NPI 1942301593) is an individual internal medicine provider in Port Royal, South Carolina, licensed in Florida (ME125237) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Eglin Afb.

NPPES Registry Identity

NPI1942301593
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JESS BRUCE WAGNERCredential: M.D.
Location Address1320 RIBAUT RDPort Royal, SC 29935-1118
Mailing Address719 Okatie Hwy # 170Okatie, SC 29909-3963 · (843) 987-7400
Phone(843) 986-0900
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1942301593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME125237
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 28789 (SC)
1320 RIBAUT RD, Port Royal, SC 29935
Open in Google Maps ↗

Secondary Practice Location 1

Location 1307 Boatner Rd Ste 114Eglin AFB, FL 32542-1302 · Phone (850) 883-8600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jess Bruce Wagner M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jess Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaufort Jasper Hampton Comprehensive Health Services, Inc.
11 mi
Federally Qualified Health Center (FQHC)
719 N OKATIE HWY
Ridgeland, SC 29936
  • Reassigned Medicare billing, South Carolina enrollment
  • 98 clinicians in this Medicare group
NPI 1649276148 (843) 987-7400
Carolinas Physicians Network Inc
178 mi
Cardiovascular Disease
1550 FAULK ST, STE 3100
Monroe, NC 28112
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1598080087 (704) 667-3410

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29935 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 12

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

FAITH LAWRENCE POLKEY M.D., M.P.H.
Pediatrics
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 986-0900
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE,INC
Clinic/Center (Public Health, Federal)
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 322-1833
ABNER H BAGENSTOSE III MD
Internal Medicine
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 986-0900
CAMERON STAIGER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 322-1873
DR. ROSALIND DAWSON M.D.
Internal Medicine
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 986-0900
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE INC
Pharmacy (Community/Retail Pharmacy)
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 332-1832
DR. CHIH-PING TUCKER PHARMD
Pharmacist
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 322-1833
MARLO MONIQUE SMITH MD
Pediatrics
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 986-0900

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 Jess Wagner's NPI number?

The NPI number for Jess Wagner is 1942301593. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Jess Wagner located?

Jess Wagner practices at 1320 Ribaut Rd, Port Royal, SC 29935. The listed phone number is (843) 986-0900.

What is Jess Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jess Wagner enrolled in Medicare?

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

Which organizations bill Medicare for Jess Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jess Wagner reassigns Medicare benefits to 2 organizations: Beaufort Jasper Hampton Comprehensive Health Services, Inc. (Ridgeland, SC) and Carolinas Physicians Network Inc (Monroe, NC). 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 Jess Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jess Wagner accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and First Choice Next list Jess 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.

When was this NPI record last updated?

The NPPES record for Jess Wagner was last updated on October 2, 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.