DR. KATHERINE ELIZABETH WAGNER (MD) – Neurological Surgery Physician, NPI 1093125478
Neurological Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
531 NEUROSURGERY in NY
Provider Addresses for DR. KATHERINE ELIZABETH WAGNER (MD)
300 COMMUNITY DR
MANHASSET, NY 110303816
Phone: (516) 562-0100
Type: Mailing
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-4000
Type: Mailing
825 N 10th St
Santa Paula, CA 930601309
Phone: (805) 933-8650
Type: Location
300 Hillmont Ave
Ventura, CA 930031651
Phone: (805) 652-6000
Type: Location
168 N BRENT ST STE 408
VENTURA, CA 930032824
Phone: (617) 281-5273
Fax: (805) 643-0672
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 256 Open Payments records for all available years, with a total value of $10,255.
Total Amount is formed as General ($10,255) + Research ($0) + Ownership ($0) = $10,255.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Globus Medical, Inc. ($5,522).
Total Amount
$10,255
General + Research + Ownership
Payments
256
Total payment records
General Amount
$10,255
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $5,522 |
| Medtronic, Inc. | $1,609 |
| NuVasive, Inc. | $1,334 |
| Medical Device Business Services, Inc. | $510 |
| SI-BONE, INC. | $301 |
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: 2021-06-08
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20210608003502 | I | Neurosurgery | CA | 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 | 167 | 104 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 115 | 115 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 39 | 24 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 24 | 24 | $0 |
Insurance plans in this area (ZIP 11030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Family Practice | CA | |
| Family Practice | MA | |
| Anesthesiology, Critical Care (Intensivists), Internal Medicine | CA | |
| U R O L O G Y | CA |
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