PAUL D WAGNER (M.D., F.A.C.P.) – Internal Medicine Physician, NPI 1023093663
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
Provider Addresses for PAUL D WAGNER (M.D., F.A.C.P.)
2664 W CANYON AVE
SAN DIEGO, CA 921234684
Phone: (858) 560-8890
Type: Location
4th Avenue, Otay, Chula Vista, San Diego County, California, 92154, United States
SUITE 100
SAN DIEGO, CA 921032116
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $297.
Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($55).
Total Amount
$297
General + Research + Ownership
Payments
12
Total payment records
General Amount
$297
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $55 |
| Abbott Laboratories | $45 |
| Hologic Sales and Service, LLC | $43 |
| Novo Nordisk Inc | $33 |
| Exact Sciences Corporation | $31 |
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: 2004-12-27
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 |
|---|---|---|---|---|
| I20041227000702 | I | Internal Medicine | CA | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,159 | 122 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 768 | 95 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 650 | 90 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 560 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 73 | 54 | $0 |
Insurance plans in this area (ZIP 92123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Family Practice | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| Sports Medicine, Family Practice | CA | |
| Family Practice | CA | |
| Family Practice, Geriatric Medicine | CA |
Reviews
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