THEODORE T III WAGNER (MD) – Urology Physician, NPI 1831162791
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NPPES metrics only — not quality of care.
300 UROLOGY in IN
Provider Addresses for THEODORE T III WAGNER (MD)
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone: (260) 266-6013
Type: Mailing
11141 Parkview Plaza Dr Ste 325
Fort Wayne, IN 468451714
Phone: (260) 425-5400
Fax: (260) 425-5417
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
11141 PARKVIEW PLAZA DR STE 325
FORT WAYNE, IN 468451714
Phone: (260) 425-5400
Fax: (260) 425-5417
Type: Location
2512, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
STE. 100
FORT WAYNE, IN 468251675
Phone: (260) 436-6667
Fax: (260) 469-7437
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
3920 ST FRANCIS WAY STE 105
LAFAYETTE, IN 479054917
Phone: (765) 502-4000
Fax: (765) 502-4709
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,110.
Total Amount is formed as General ($1,110) + Research ($0) + Ownership ($0) = $1,110.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Axonics, Inc. ($900).
Total Amount
$1,110
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $900 |
| Boston Scientific Corporation | $107 |
| Janssen Biotech, Inc. | $36 |
| PFIZER INC. | $35 |
| Laborie Medical Technologies Corp. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 5,550 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 419 | 339 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 240 | 213 | $0 |
| 81002 | Urinalysis, manual test | 141 | 127 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 132 | 19 | $0 |
Insurance plans in this area (ZIP 46845)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | IN | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 16 | 16 |
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