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KATHERINE ELISE WAGNER PA-C
NPI 1972345072
Physician Assistant in Vienna, VA

Active since June 10, 2024PECOS EnrolledAccepts Medicare Assignment
8301 OLD COURTHOUSE RD, VIENNA, VA 22182(703) 442-0300(703) 442-0337 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Katherine Elise Wagner Pa-c NPPES

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

KATHERINE ELISE WAGNER PA-C (NPI 1972345072) is an individual physician assistant in Vienna, Virginia, licensed in Virginia (0110010298) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972345072
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE ELISE WAGNERCredential: PA-C
Location Address8301 OLD COURTHOUSE RDVienna, VA 22182-3804
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(703) 442-0300
Fax(703) 442-0337
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 10, 2024
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1972345072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110010298
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8301 OLD COURTHOUSE RD, Vienna, VA 22182
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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

Katherine Elise Wagner Pa-c 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 ID8527509918
PECOS Enrollment IDI20240925003718
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 7

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
126 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services27 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
24 services24 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
23 services21 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
18 services17 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22182 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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 5

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

DR. NAIEM TONY ISSA M.D., PH.D.
Dermatology
8301 OLD COURTHOUSE RD
VIENNA, VA 22182
Fairfax County (703) 442-0300
DR. RANDA RAJAI KHOURY M.D.
Dermatology
8301 OLD COURTHOUSE RD
VIENNA, VA 22182
Fairfax County (703) 442-0300
DR. SARAH TAYLOR MD
Dermatology
8301 OLD COURTHOUSE RD
VIENNA, VA 22182
Fairfax County (703) 442-0300
ABIGAIL PARK LEE SHAW PA-C
Physician Assistant
8301 OLD COURTHOUSE RD
VIENNA, VA 22182
Fairfax County (703) 442-0300
FOREFRONT DERMATOLOGY, S.C.
Dermatology
8301 OLD COURTHOUSE RD
VIENNA, VA 22182
Fairfax County (703) 442-0300

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 Katherine Wagner's NPI number?

The NPI number for Katherine Wagner is 1972345072. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Katherine Wagner located?

Katherine Wagner practices at 8301 Old Courthouse Rd, Vienna, VA 22182. The listed phone number is (703) 442-0300.

What is Katherine Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katherine Wagner enrolled in Medicare?

Yes. Katherine 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.

When was this NPI record last updated?

The NPPES record for Katherine Wagner was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.