DR. SETH T WAGNER (D.O.) – Internal Medicine Physician, NPI 1659506277

DR. SETH T WAGNER (D.O.) is a healthcare provider. based in Dalton, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 070602 (GA). The NPI Number for DR. SETH T WAGNER (D.O.) is 1659506277

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SETH T WAGNER (D.O.)
NPI
1659506277
Phone
(706) 278-0138
Address
1114 PROFESSIONAL BLVD
Enumeration Date
27 May 2009
Last Update Date
17 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062780138
Graduation Year
2009 (17 years ago)
PAC ID
4385880095
Group Practice PAC ID
6103817572
Professional Enrollment ID
I20130930000405
Address ID
GA307202588DA1114XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

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Provider Addresses for DR. SETH T WAGNER (D.O.)

  • Professional Boulevard, Dalton, Whitfield County, Georgia, 30722, United States

    DALTON, GA 30720

    Phone: (706) 278-0138

    Fax: (706) 272-3780

    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 75 Open Payments records for all available years, with a total value of $1,317.

Total Amount is formed as General ($1,317) + Research ($0) + Ownership ($0) = $1,317.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($243).

Total Amount

$1,317

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2016-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130930000405IInternal MedicineGATBD
I20160606000537IInternal MedicineTNTBD

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
36415Insertion of needle into vein for collection of blood sample1,108495$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count921493$0
81001Manual urinalysis test with examination using microscope, automated817472$0
80061Blood test, lipids (cholesterol and triglycerides)808476$0
83721Ldl cholesterol level806474$0
View full utilization report →

Insurance plans in this area (ZIP 30720)

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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: 6103817572View full group profile
NameSpecialtyState
Physician AssistantGA
Family PracticeGA
-GA
Nurse PractitionerIN
Physician AssistantGA
Family Practice, Obstetrics/GynecologyGA
Physician AssistantOH
Family Practice, Internal MedicineGA
-GA
Physician AssistantGA

Reviews

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Frequently asked questions

What number should I use to identify DR. SETH T WAGNER (D.O.) for billing?
Administrative and clinical systems typically use NPI 1659506277 for DR. SETH T WAGNER (D.O.).
Is DR. SETH T WAGNER (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. SETH T WAGNER (D.O.) as active.
What services align with DR. SETH T WAGNER (D.O.)'s listing?
DR. SETH T WAGNER (D.O.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SETH T WAGNER (D.O.)?
DR. SETH T WAGNER (D.O.) is associated with Dalton, Georgia in the same public data insurers reference.
Can I export DR. SETH T WAGNER (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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