DR. COREY ALLEN WAGNER (MD) – Gynecology Physician, NPI 1144428038
Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
928 OBSTETRICS/GYNECOLOGY in MO
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Provider Addresses for DR. COREY ALLEN WAGNER (MD)
621, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 499-A
SAINT LOUIS, MO 631418232
Phone: (314) 251-7650
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 28 Open Payments records for all available years, with a total value of $11,810.
Total Amount is formed as General ($11,810) + Research ($0) + Ownership ($0) = $11,810.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($11,633).
Total Amount
$11,810
General + Research + Ownership
Payments
28
Total payment records
General Amount
$11,810
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $11,633 |
| Sumitomo Pharma America, Inc. | $67 |
| PFIZER INC. | $41 |
| Astellas Pharma US Inc | $33 |
| Medtronic, Inc. | $19 |
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: 2013-10-07
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 |
|---|---|---|---|---|
| I20131007000652 | I | Obstetrics/Gynecology | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| General Surgery, Surgical Oncology | IL | |
| Orthopedic Surgery | CO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| N E U R O S U R G E R Y | MO |
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