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TOMMY W WAGNER MD
NPI 1952385064
Family Medicine in Manila, AR

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
3644 W ST HWY 18, MANILA, AR 72442(870) 561-3300(870) 561-3307 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tommy W Wagner Md NPPES

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

TOMMY W WAGNER MD (NPI 1952385064) is an individual family medicine provider in Manila, Arkansas, licensed in Arkansas (E3873) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2002).

NPPES Registry Identity

NPI1952385064
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTOMMY W WAGNERCredential: MD
Location Address3644 W ST HWY 18Manila, AR 72442
Mailing AddressPo Box 910Manila, AR 72442 · (870) 561-3300 · Fax (870) 561-3307
Phone(870) 561-3300
Fax(870) 561-3307
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2002
Enumeration DateDecember 1, 2005
Last NPPES UpdateFebruary 20, 2014
✔ NPI 1952385064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E3873
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.

3644 W ST HWY 18, Manila, AR 72442
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Other Identifiers 3

Medicare PIN5M801AR
Medicare UPINI03046AR
Medicaid156106001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Tommy W Wagner Md 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 ID2264422195
PECOS Enrollment IDI20040513000982
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 3

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services17 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services12 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72442 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims92 services$7.20 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers14 claims14 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims47 services$1.23 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.52 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$3.95 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers23 claims460 services$3.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

HEATHER LEIGH SMITH APN
Nurse Practitioner
3644 W ST HWY 18, SUITE B
MANILA, AR 72442
Mississippi County (870) 561-3300
DANNA SCOTT DEATON APRN
Nurse Practitioner (Family)
3644 W ST HWY 18, SUITE B
MANILA, AR 72442
Mississippi County (870) 561-3300
LACEY POE APRN
Nurse Practitioner (Family)
3644 W ST HWY 18, SUITE B
MANILA, AR 72442
Mississippi County (870) 561-3300

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 Tommy Wagner's NPI number?

The NPI number for Tommy Wagner is 1952385064. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Tommy Wagner located?

Tommy Wagner practices at 3644 W St Hwy 18, Manila, AR 72442. The listed phone number is (870) 561-3300.

What is Tommy Wagner's specialty?

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

Is Tommy Wagner enrolled in Medicare?

Yes. Tommy 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.

What insurance does Tommy Wagner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Tommy 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 Tommy Wagner was last updated on February 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.