ZACHARY LEE WAGAR (MD) – Family Medicine Physician, NPI 1033771191

ZACHARY LEE WAGAR (MD) is a healthcare provider. based in Lakeview, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4351045582 (MI). The NPI Number for ZACHARY LEE WAGAR (MD) is 1033771191

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY LEE WAGAR (MD)
NPI
1033771191
Phone
(989) 352-6474
Address
8650 HOWARD CITY EDMORE RD
Enumeration Date
28 June 2019
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6167940940
Graduation Year
2019 (7 years ago)
PAC ID
6002147931
Group Practice PAC ID
6305836487
Professional Enrollment ID
I20220121001127
Address ID
MI488099246BE1227XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for ZACHARY LEE WAGAR (MD)

  • 8650 HOWARD CITY EDMORE RD

    LAKEVIEW, MI 488507102

    Phone: (989) 352-6474

    Type: Location

  • 1202, West Oak Street, Greenville, Montcalm County, Michigan, 48838, United States

    GREENVILLE, MI 488382155

    Phone:

    Type: Mailing

  • 418 WASHINGTON ST

    LAKEVIEW, MI 488507102

    Phone: (989) 352-6474

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: Novo Nordisk Inc ($19).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

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: 2022-01-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220121001127IFamily PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48850)

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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: 6305836487View full group profile
NameSpecialtyState
Geriatric Medicine, Internal MedicineMI
Physician AssistantMI
Physician AssistantMI
Orthopedic Surgery, Sports MedicineMI
Physician AssistantMI
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI
Physician AssistantMI
Physician AssistantMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the standard ID for ZACHARY LEE WAGAR (MD) in the U.S.?
In the U.S., ZACHARY LEE WAGAR (MD) is identified by NPI 1033771191.
Quick check: is ZACHARY LEE WAGAR (MD) active?
Public NPPES data shows ZACHARY LEE WAGAR (MD) with an active NPI status right now.
What type of care does ZACHARY LEE WAGAR (MD) provide?
ZACHARY LEE WAGAR (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ZACHARY LEE WAGAR (MD)?
ZACHARY LEE WAGAR (MD) is associated with Lakeview, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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