TOMMY W WAGNER (MD) – Family Medicine Physician, NPI 1952385064
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,499 FAMILY PRACTICE in AR
Provider Addresses for TOMMY W WAGNER (MD)
PO BOX 910
MANILA, AR 72442
Phone: (870) 561-3300
Fax: (870) 561-3307
Type: Mailing
3644 W ST HWY 18
MANILA, AR 72442
Phone: (870) 561-3300
Fax: (870) 561-3307
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $598.
Total Amount is formed as General ($598) + Research ($0) + Ownership ($0) = $598.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($192).
Total Amount
$598
General + Research + Ownership
Payments
27
Total payment records
General Amount
$598
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $192 |
| ABBVIE INC. | $102 |
| GlaxoSmithKline, LLC. | $60 |
| Exact Sciences Corporation | $37 |
| Axsome Therapeutics, Inc. | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040513000982 | I | Family Practice | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 43 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 48 | 12 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 41 | 25 | $0 |
| 83036 | Hemoglobin a1c level | 26 | 22 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 21 | 21 | $0 |
Insurance plans in this area (ZIP 72442)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Physician Assistant | AR | |
| Nurse Practitioner | AR |
Reviews
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