DR. STEPHEN P WAGNER (M.D.) – Ophthalmology Physician, NPI 1255443412

DR. STEPHEN P WAGNER (M.D.) is a healthcare provider. based in Freeport, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 036145288 (IL). The NPI Number for DR. STEPHEN P WAGNER (M.D.) is 1255443412

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN P WAGNER (M.D.)
NPI
1255443412
Phone
(608) 324-2000
Address
1301 Kiwanis Dr
Enumeration Date
31 August 2006
Last Update Date
2 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6083242000
Graduation Year
1998 (28 years ago)
PAC ID
3971713009
Group Practice PAC ID
3072425495
Professional Enrollment ID
I20101103000021
Address ID
WI535661569MO515XXAVEX300

Contacts

Secure Messaging
swagner11857@direct.monroeclinic.org
FHIR Endpoint
https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

960 OPHTHALMOLOGY in IL

Provider Addresses for DR. STEPHEN P WAGNER (M.D.)

  • 1301 Kiwanis Dr

    Freeport, IL 610326907

    Phone: (608) 324-2000

    Type: Location

  • 1110 S Park Blvd

    Freeport, IL 610324659

    Phone: (608) 324-2000

    Type: Location

  • Monroe Clinic Hospital, 515, 22nd Avenue, Monroe, Green County, Wisconsin, 53566, United States

    MONROE, WI 535661569

    Phone: (608) 324-2000

    Fax: (262) 763-7002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-05-18

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
I20101103000021IOphthalmologyWITBD
I20180518000005IOphthalmologyILTBD

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
92134Imaging of retina667252$0
67028Injection of drug into eye592116$0
99213Established patient office or other outpatient visit, 20-29 minutes464298$0
92014Established patient complete exam of visual system425391$0
99214Established patient office or other outpatient visit, 30-39 minutes362282$0
View full utilization report →

Insurance plans in this area (ZIP 61032)

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Provider's Procedures

DR. STEPHEN P WAGNER (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYWI92012Eye and medical examination for diagnosis and treatment, established patient327199
OPHTHALMOLOGYWI92083Measurement of field of vision during daylight conditions8371
OPHTHALMOLOGYWI92134Diagnostic imaging of retina9954

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: 3072425495View full group profile
NameSpecialtyState
-WI
-WI
Clinical PsychologistWI
-WI
P A T H O L O G YIL
-LA
Emergency MedicineWI
A N E S T H E S I O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is DR. STEPHEN P WAGNER (M.D.)'s NPI number?
DR. STEPHEN P WAGNER (M.D.)'s NPI is 1255443412 — the number used across U.S. healthcare to identify this provider.
Is DR. STEPHEN P WAGNER (M.D.) shown as active in public data?
Registry records indicate DR. STEPHEN P WAGNER (M.D.) maintains an active NPI.
What expertise is attributed to DR. STEPHEN P WAGNER (M.D.)?
DR. STEPHEN P WAGNER (M.D.)'s specialty line reads Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. STEPHEN P WAGNER (M.D.) registered?
Use Freeport, Illinois as the headline location for DR. STEPHEN P WAGNER (M.D.) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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