DR. CASEY WAGNER (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1306108279
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,117 FAMILY PRACTICE in GA
Provider Addresses for DR. CASEY WAGNER (M.D.)
7813 SPIVEY STATION BLVD STE 220
JONESBORO, GA 302362900
Phone:
Type: Mailing
1364 Clifton Rd NE
Atlanta, GA 303221064
Phone: (404) 712-2000
Type: Location
3900 N Parkview Dr
Fayetteville, AR 727036398
Phone: (479) 966-4187
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-08-26 • Largest payer in this snapshot: ACUMED LLC ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACUMED LLC | $30 |
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: 2019-09-11
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20190911001811 | I | Family Practice | GA | 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 |
|---|---|---|---|---|
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 438 | 193 | $0 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 283 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 282 | 200 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 259 | 179 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 258 | 178 | $0 |
Insurance plans in this area (ZIP 30236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Family Practice | SC | |
| Internal Medicine | GA | |
| Pulmonary Disease, Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology), Physical Medicine And Rehabilitation, Internal Medicine | NC | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA |
Reviews
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