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GUNTHER WAGONER MD
NPI 1982024683
Internal Medicine in Duluth, MN

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
400 EAST THIRD STREET, DULUTH, MN 55805(218) 786-3146(218) 722-8792 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gunther Wagoner Md NPPES

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

GUNTHER WAGONER MD (NPI 1982024683) is an individual internal medicine provider in Duluth, Minnesota, licensed in Minnesota (63661) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1982024683
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGUNTHER WAGONERCredential: MD
Location Address400 EAST THIRD STREETDuluth, MN 55805-1950
Mailing Address913 Culver RdRochester, NY 14609-7141 · (585) 654-5432
Phone(218) 786-3146
Fax(218) 722-8792
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 21, 2014
Last NPPES UpdateJuly 27, 2018
✔ NPI 1982024683 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 MN · 63661
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
400 EAST THIRD STREET, Duluth, MN 55805
Open in Google Maps ↗

Secondary Practice Location 1

Location 1913 Culver RdRochester, NY 14609-7141 · Phone (585) 654-5432

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.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

Gunther Wagoner 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 ID1557610920
PECOS Enrollment IDI20180817001090, I20200424000273
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
146 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
98 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Sandstone

Critical Access Hospitals · Sandstone, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241309
Location705 Lundorff Drive SouthSandstone, MN 55072 · Pine County
Emergency services

Essentia Health Northern Pines Medical Center

Critical Access Hospitals · Aurora, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241340
Location5211 Highway 110Aurora, MN 55705 · St. Louis County
Emergency services

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241360
Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers17 claims17 services$98.54 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
4 suppliers13 claims13 services$34.83 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 20

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

DR. TIMOTHY E BORDEN D.O.
Emergency Medicine (Hospice and Palliative Medicine)
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
MICHELE MARIE DAVIS APRN, CNP
Nurse Practitioner (Adult Health)
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
MARIA KATARZYNA BEAVER MD
Pathology (Anatomic Pathology & Clinical Pathology)
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
DR. HILARY CLAIRE REICH M.D.
Dermatology
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULTUH, MN 55805
St. Louis County (218) 786-8364
MALLORIE MARIE VAN WINKLE DPT
Physical Therapist
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-5360
SARAH KATHERINE DAGGETT CPNP
Nurse Practitioner (Pediatrics)
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
DR. NISAR ZAIDI MD
Surgery
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
DR. ERIN KATHLEEN RUST MD
Hospitalist
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364

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 Gunther Wagoner's NPI number?

The NPI number for Gunther Wagoner is 1982024683. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Gunther Wagoner located?

Gunther Wagoner practices at 400 East Third Street, Duluth, MN 55805. The listed phone number is (218) 786-3146.

What is Gunther Wagoner's specialty?

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

Is Gunther Wagoner enrolled in Medicare?

Yes. Gunther Wagoner 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 Gunther Wagoner accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Gunther Wagoner 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 Gunther Wagoner affiliated with any hospitals?

According to CMS data, Gunther Wagoner is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Sandstone, Essentia Health Northern Pines Medical Center and Essentia Health Deer River.

When was this NPI record last updated?

The NPPES record for Gunther Wagoner was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.