DR. DANIEL GRAY WAGNER (M.D.) – Obstetrics & Gynecology Physician, NPI 1891880191
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
928 OBSTETRICS/GYNECOLOGY in MO
Provider Addresses for DR. DANIEL GRAY WAGNER (M.D.)
5551 Winghaven Blvd Ste 170
O Fallon, MO 633683630
Phone: (314) 576-9797
Fax: (314) 469-7517
Type: Location
103 Hilltop Village Shopping Center Dr.
Eureka, MO 63025
Phone: (314) 576-9797
Fax: (314) 469-7517
Type: Location
224, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
SUITE 750
CHESTERFIELD, MO 630173451
Phone: (314) 576-9797
Fax: (314) 469-7517
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,243.
Total Amount is formed as General ($1,243) + Research ($0) + Ownership ($0) = $1,243.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($406).
Total Amount
$1,243
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $406 |
| Exact Sciences Corporation | $127 |
| Sumitomo Pharma America, Inc. | $103 |
| SHIELD THERAPEUTICS INC | $83 |
| Sage Therapeutics, Inc. | $50 |
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: 2010-10-13
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 |
|---|---|---|---|---|
| I20101013001258 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 123 | 123 | $0 |
| 82274 | Stool analysis for blood, by fecal hemoglobin determination by immunoassay | 117 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 58 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 17 | 14 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 63368)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | MO | 76830 | Ultrasound pelvis through vagina | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | IL |
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