1. Home
  2. Directory
  3. Michigan
  4. Hart
  5. Family Medicine
  6. NPI Profile

PAUL A WAGNER DO
NPI 1962434043
Family Medicine in Hart, MI

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
611 EAST MAIN ST, HART, MI 49420(231) 873-5675(231) 873-1825 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul A Wagner Do NPPES

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

PAUL A WAGNER DO (NPI 1962434043) is an individual family medicine provider in Hart, Michigan, licensed in Michigan (5101011554) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1985).

NPPES Registry Identity

NPI1962434043
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL A WAGNERCredential: DO
Location Address611 EAST MAIN STHart, MI 49420-1190
Mailing Address611 East Main StreetHart, MI 49420-1190 · (231) 873-5675 · Fax (231) 873-1825
Phone(231) 873-5675
Fax(231) 873-1825
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1985
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 29, 2011
✔ NPI 1962434043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 5101011554✔ Licensed in MI · PW011554
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.
611 EAST MAIN ST, Hart, MI 49420
Open in Google Maps ↗

Other Identifiers 8

Medicaid3015197MI
Other010F476090MI · Bcbs
Other0F40011MI · Bcbsmi
Other5641515MI · Bcbs Pin Number
Medicare ID-Type Unspecified0F47609 004MI · Mediare
Medicaid3015197 TYPE 11MI
Other080058226MI · Medicare Railroad
Medicare UPINE96353MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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

Paul A Wagner Do 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 ID7911986948
PECOS Enrollment IDI20040715000453
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 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Mercy Health Lakeshore Campus

Critical Access Hospitals · Shelby, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231320
Location72 South State StreetShelby, MI 49455 · Oceana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49420 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 15

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers13 claims164 services$18.92 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers13 claims460 services$2.21 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers41 claims181 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers18 claims39 services$1.22 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers26 claims26 services$44.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers18 claims18 services$113.01 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

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

HART FAMILY MEDICAL ASSOCIATES PC
Family Medicine
611 EAST MAIN ST
HART, MI 49420
Oceana County (231) 873-5675

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 Paul Wagner's NPI number?

The NPI number for Paul Wagner is 1962434043. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Paul Wagner located?

Paul Wagner practices at 611 East Main St, Hart, MI 49420. The listed phone number is (231) 873-5675.

What is Paul Wagner's specialty?

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

Is Paul Wagner enrolled in Medicare?

Yes. Paul 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 Paul Wagner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Paul 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.

Is Paul Wagner affiliated with any hospitals?

According to CMS data, Paul Wagner is affiliated with Trinity Health Muskegon Hospital, Corewell Health Ludington Hospital and Mercy Health Lakeshore Campus.

When was this NPI record last updated?

The NPPES record for Paul Wagner was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.