DR. PAMELA H.S. WAGNER (M.D.) – Ophthalmology Physician, NPI 1124233184
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,665 OPHTHALMOLOGY in CA
Provider Addresses for DR. PAMELA H.S. WAGNER (M.D.)
1515 RESPONSE RD
SACRAMENTO, CA 958154805
Phone: (916) 649-1515
Fax: (916) 649-1516
Type: Mailing
1615 CREEKSIDE DR STE 110
FOLSOM, CA 956303491
Phone: (916) 649-1515
Fax: (916) 649-1516
Type: Location
Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States
LOMA LINDA, CA 923542804
Phone: (909) 558-8131
Type: Location
Fowler Way, Placerville, El Dorado County, California, 95667, United States
PLACERVILLE, CA 956675738
Phone: (530) 626-0058
Fax: (530) 626-0092
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($133).
Total Amount
$250
General + Research + Ownership
Payments
6
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $133 |
| Tarsus Pharmaceuticals, Inc. | $43 |
| ABBVIE INC. | $31 |
| RxSight Inc | $26 |
| Dompe US, Inc. | $16 |
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: 2011-05-13
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 |
|---|---|---|---|---|
| I20110513000513 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 121 | 115 | $0 |
| 92134 | Imaging of retina | 89 | 86 | $0 |
| 92012 | Established patient problem focused exam of visual system | 81 | 63 | $0 |
| 92133 | Imaging of optic nerve | 50 | 45 | $0 |
| 92132 | Imaging of front third of eye | 46 | 42 | $0 |
Insurance plans in this area (ZIP 95815)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA | |
| - | CA | |
| - | CA | |
| O P T O M E T R Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | CA | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA |
Reviews
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