DR. JEFFREY DAVID WAGNER (MD) – Plastic Surgery Physician, NPI 1881690790
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 PLASTIC AND RECONSTRUCTIVE SURGERY in IN
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Provider Addresses for DR. JEFFREY DAVID WAGNER (MD)
8040, Clearvista Parkway, Indianapolis, Indiana, 46256, United States
STE 570
INDIANAPOLIS, IN 462564673
Phone: (317) 621-2520
Fax: (317) 621-2580
Type: Mailing
8040 Clearvista Pkwy
Ste 570
Indianapolis, IN 46256
Phone: (317) 621-2520
Fax: (317) 621-2580
Type: Location
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 462502890
Phone:
Type: Mailing
8040 CLEARVISTA PKWY STE 520
INDIANAPOLIS, IN 462565604
Phone: (317) 621-9470
Type: Location
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: 2004-06-09
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20040609001301 | I | Plastic And Reconstructive Surgery | IN | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 97 | 97 | $0 |
| 38900 | Imaging of lymph nodes during surgery | 73 | 73 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 62 | 62 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 52 | 51 | $0 |
| 13122 | Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less | 51 | 41 | $0 |
Insurance plans in this area (ZIP 46256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | NV | |
| Medical Oncology, Hematology | IN | |
| Medical Oncology, Hematology | IN | |
| Nurse Practitioner | IN | |
| Medical Oncology, Hematology, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Colorectal Surgery (Proctology) | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Medical Oncology, General Surgery | LA |
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