DR. ELLEN ROGERS WAGNER (OD) – Optometrist, NPI 1316987753
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
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Provider Addresses for DR. ELLEN ROGERS WAGNER (OD)
806, Riverside Avenue, Riverside, Jacksonville, Duval County, Florida, 32204, United States
SUITE 100
JACKSONVILLE, FL 322043337
Phone: (904) 356-7101
Fax: (904) 356-7947
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $1,409.
Total Amount is formed as General ($1,409) + Research ($0) + Ownership ($0) = $1,409.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alcon Vision LLC ($719).
Total Amount
$1,409
General + Research + Ownership
Payments
33
Total payment records
General Amount
$1,409
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $719 |
| Horizon Therapeutics plc | $237 |
| Tarsus Pharmaceuticals, Inc. | $144 |
| Bausch & Lomb Americas Inc. | $140 |
| ABBVIE INC. | $117 |
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: 2009-08-17
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 |
|---|---|---|---|---|
| I20090817000433 | I | Optometry | FL | 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 | 153 | 151 | $0 |
| 92133 | Imaging of optic nerve | 32 | 32 | $0 |
| 92014 | Established patient complete exam of visual system | 28 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 22 | $0 |
Insurance plans in this area (ZIP 32204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| - | FL | |
| O P T O M E T R Y | FL |
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