THOMAS WAGNER (DO) – Family Medicine Physician, NPI 1669464673
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for THOMAS WAGNER (DO)
26908, Detroit Road, Westlake, Cuyahoga County, Ohio, 44145, United States
SUITE 301
WESTLAKE, OH 441452398
Phone: (440) 617-1823
Fax: (440) 617-0884
Type: Mailing
Leaps & Bounds Child Care, 34960, Center Ridge Road, North Ridgeville, Lorain County, Ohio, 44039, United States
N RIDGEVILLE, OH 440393183
Phone: (440) 353-3433
Fax: (440) 353-3431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $922.
Total Amount is formed as General ($922) + Research ($0) + Ownership ($0) = $922.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($504).
Total Amount
$922
General + Research + Ownership
Payments
44
Total payment records
General Amount
$922
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $504 |
| Merck Sharp & Dohme LLC | $128 |
| Lilly USA, LLC | $50 |
| Amgen Inc. | $38 |
| Corium, LLC | $35 |
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: 2005-08-26
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 |
|---|---|---|---|---|
| I20050826000317 | I | Family Practice | OH | 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 | 277 | 139 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 124 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 134 | 134 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 34 | 34 | $0 |
| G0009 | Administration of pneumococcal vaccine | 34 | 34 | $0 |
Insurance plans in this area (ZIP 44145)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 81002 | Urinalysis, manual test | 37 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| - | IL | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NC | |
| Nurse Practitioner | OH |
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