ROBERT J JR. WAGNER (D.O.) – Surgery Physician, NPI 1164419081
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ROBERT J JR. WAGNER (D.O.)
5801, Allentown Road, Andrews Manor, Camp Springs, Prince George's County, Maryland, 20746, United States
SUITE 502
CAMP SPRINGS, MD 207464563
Phone: (240) 427-1630
Fax: (240) 492-2070
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 20 Open Payments records for all available years, with a total value of $649.
Total Amount is formed as General ($649) + Research ($0) + Ownership ($0) = $649.
Last reported payment date: 2024-11-28 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($189).
Total Amount
$649
General + Research + Ownership
Payments
20
Total payment records
General Amount
$649
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-28
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-03-29
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 |
|---|---|---|---|---|
| I20050329000990 | I | General Surgery | MD | 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 |
|---|---|---|---|---|
| 37253 | Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 132 | 99 | $0 |
| 37252 | Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 127 | 100 | $0 |
| 37229 | Removal of plaque in artery of leg, initial vessel | 71 | 63 | $0 |
| 37225 | Removal of plaque in arteries of leg | 57 | 46 | $0 |
| 37227 | Removal of plaque and insertion of stents in arteries of leg | 44 | 41 | $0 |
Insurance plans in this area (ZIP 20746)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Vascular Surgery | MD | |
| Vascular Surgery | DC | |
| General Surgery | MD | |
| Thoracic Surgery, Vascular Surgery | DC | |
| Interventional Radiology, Diagnostic Radiology | DC | |
| Vascular Surgery, Thoracic Surgery, General Surgery | MD | |
| Vascular Surgery | MD |
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