DR. THOMAS HERBERT WAGNER (M.D.) – Anesthesiology Physician, NPI 1740251230

DR. THOMAS HERBERT WAGNER (M.D.) is a healthcare provider. based in Eglin afb, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 50566 (GA). The NPI Number for DR. THOMAS HERBERT WAGNER (M.D.) is 1740251230

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS HERBERT WAGNER (M.D.)
NPI
1740251230
Phone
(850) 883-8282
Address
307 BOATNER RD
Enumeration Date
1 February 2006
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7207335260
Graduation Year
1993 (33 years ago)
PAC ID
3971688672
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20160309002723
Address ID
CO801047419CA4404XLNXX302

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness95
Years active:20State licenses:3Other names

3,340 ANESTHESIOLOGY in FL

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Provider Addresses for DR. THOMAS HERBERT WAGNER (M.D.)

  • 96th Medical Group, 307, Boatner Road, Okaloosa County, Florida, 32542, United States

    ELGIN HOSPITAL

    EGLIN AFB, FL 325421391

    Phone: (850) 883-8282

    Type: Location

  • 50, Schenck Parkway, Biltmore Park, Asheville, Buncombe County, North Carolina, 28803, United States

    ASHEVILLE, NC 288033499

    Phone: (828) 681-1527

    Type: Mailing

  • 1000 Medical Center Blvd

    Lawrenceville, GA 300467694

    Phone: (678) 312-1000

    Fax: (678) 312-3282

    Type: Location

  • 10350 E Dakota Ave

    Denver, CO 802471314

    Phone: (303) 338-4545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($30).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131112001128IAnesthesiologyFLTBD
I20160309002723IAnesthesiologyCOTBD
I20160606001697IAnesthesiologyNYTBD
I20161027001279IAnesthesiologyNCTBD
I20220511001560IAnesthesiologySCTBD
I20230411000133IAnesthesiologyTNTBD
I20250915002751IAnesthesiologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36620Insertion of artery tube for blood sampling or infusion through skin1212$0
View full utilization report →

Insurance plans in this area (ZIP 32542)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638208549View full group profile

Reviews

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Frequently asked questions

How is DR. THOMAS HERBERT WAGNER (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. THOMAS HERBERT WAGNER (M.D.) with NPI 1740251230.
Can I rely on DR. THOMAS HERBERT WAGNER (M.D.) being an active provider?
As of the registry snapshot, DR. THOMAS HERBERT WAGNER (M.D.) is marked active.
What is DR. THOMAS HERBERT WAGNER (M.D.)'s primary classification?
Anesthesiology Physician is the headline specialty for DR. THOMAS HERBERT WAGNER (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. THOMAS HERBERT WAGNER (M.D.) based?
DR. THOMAS HERBERT WAGNER (M.D.) is tied to Eglin Afb, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.