ANDREW STANDISH WAGNER (MD) – Obstetrics & Gynecology Physician, NPI 1194703793
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,735 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for ANDREW STANDISH WAGNER (MD)
5400, Mackinaw Road, Kochville Township, Saginaw County, Michigan, 48604, United States
SUITE 6100
SAGINAW, MI 486049515
Phone: (989) 792-3100
Fax: (989) 792-9860
Type: Mailing
4401 CAMPUS RIDGE DR STE LL110
MIDLAND, MI 486406126
Phone: (989) 837-9400
Fax: (989) 792-9860
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $744.
Total Amount is formed as General ($744) + Research ($0) + Ownership ($0) = $744.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: FEMSelect Inc. ($128).
Total Amount
$744
General + Research + Ownership
Payments
31
Total payment records
General Amount
$744
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| FEMSelect Inc. | $128 |
| Davol Inc. | $120 |
| ABBVIE INC. | $109 |
| Sumitomo Pharma America, Inc. | $106 |
| Astellas Pharma US Inc | $61 |
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: 2004-02-13
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 |
|---|---|---|---|---|
| I20040213000095 | I | Obstetrics/Gynecology | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 48 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 29 | 29 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 18 | 16 | $0 |
Insurance plans in this area (ZIP 48604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | MI | 76830 | Ultrasound pelvis through vagina | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | LA |
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