DR. MICHAEL ANTHONY WAGNER (D.O.) – Orthopaedic Surgery Physician, NPI 1225349665

DR. MICHAEL ANTHONY WAGNER (D.O.) is a healthcare provider. based in Saint clair shores, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101018806 (MI). The NPI Number for DR. MICHAEL ANTHONY WAGNER (D.O.) is 1225349665

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL ANTHONY WAGNER (D.O.)
NPI
1225349665
Phone
(248) 635-6104
Address
22508 STATLER ST
Enumeration Date
30 June 2010
Last Update Date
25 October 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5864698300
Graduation Year
2010 (16 years ago)
PAC ID
5890014583
Professional Enrollment ID
I20160927001850
Address ID
MI480362564CL38525STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

1,081 ORTHOPEDIC SURGERY in MI

Provider Addresses for DR. MICHAEL ANTHONY WAGNER (D.O.)

  • 22508 STATLER ST

    SAINT CLAIR SHORES, MI 480812365

    Phone: (248) 635-6104

    Type: Mailing

  • 1000 HARRINGTON ST

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 493-8000

    Type: Location

  • 38525 HILLDALE ST

    CLINTON TOWNSHIP, MI 480362564

    Phone: (248) 635-6104

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $15,709.

Total Amount is formed as General ($15,709) + Research ($0) + Ownership ($0) = $15,709.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: MicroPort Orthopedics Inc ($13,934).

Total Amount

$15,709

General + Research + Ownership

Payments

51

Total payment records

General Amount

$15,709

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2016-09-27

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
I20160927001850IOrthopedic SurgeryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,08373$0
99214Established patient office or other outpatient visit, 30-39 minutes267146$0
20610Aspiration and/or injection of fluid from large joint17575$0
99203New patient office or other outpatient visit, 30-44 minutes7575$0
73502X-ray of hip, 2-3 views5948$0
View full utilization report →

Insurance plans in this area (ZIP 48081)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MICHAEL ANTHONY WAGNER (D.O.)?
DR. MICHAEL ANTHONY WAGNER (D.O.) — NPI 1225349665 — is the standard way to identify this listing.
Can I rely on DR. MICHAEL ANTHONY WAGNER (D.O.) being an active provider?
As of the registry snapshot, DR. MICHAEL ANTHONY WAGNER (D.O.) is marked active.
What taxonomy line describes DR. MICHAEL ANTHONY WAGNER (D.O.)?
For research purposes, treat DR. MICHAEL ANTHONY WAGNER (D.O.) as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. MICHAEL ANTHONY WAGNER (D.O.) serve?
DR. MICHAEL ANTHONY WAGNER (D.O.)'s listing highlights Saint Clair Shores, Michigan; more addresses can appear in NPPES.
Why does DR. MICHAEL ANTHONY WAGNER (D.O.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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