TERRY JOHN WAGNER (D.O.) – Family Medicine Physician, NPI 1679574834

TERRY JOHN WAGNER (D.O.) is a healthcare provider. based in Hudson, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 34006428 (OH). The NPI Number for TERRY JOHN WAGNER (D.O.) is 1679574834

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TERRY JOHN WAGNER (D.O.)
NPI
1679574834
Phone
(330) 800-4800
Address
5655 HUDSON DR STE 303
Enumeration Date
9 August 2005
Last Update Date
3 February 2020

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3308004800
Graduation Year
1994 (32 years ago)
PAC ID
8426103854
Group Practice PAC ID
8527113950
Professional Enrollment ID
I20100727000463
Address ID
OH442364454HU5655XDRXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

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Provider Addresses for TERRY JOHN WAGNER (D.O.)

  • Hudson Drive, Hudson, Summit County, Ohio, 44236, United States

    HUDSON, OH 442364454

    Phone: (330) 800-4800

    Fax: (330) 653-3007

    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 9 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: PFIZER INC. ($31).

Total Amount

$135

General + Research + Ownership

Payments

9

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

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: 2010-07-27

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
I20100727000463IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes599214$0
99213Established patient office or other outpatient visit, 20-29 minutes285139$0
G0008Administration of influenza virus vaccine9797$0
90662Influenza vaccine split virus, preservative free7575$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6868$0
View full utilization report →

Insurance plans in this area (ZIP 44236)

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Provider's Procedures

TERRY JOHN WAGNER (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH82270Stool analysis for blood to screen for colon tumors1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527113950View full group profile
NameSpecialtyState
Family PracticeOH

Reviews

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Frequently asked questions

How do payers reference TERRY JOHN WAGNER (D.O.)?
For TERRY JOHN WAGNER (D.O.), use NPI 1679574834 as the unique 10-digit identifier.
Is TERRY JOHN WAGNER (D.O.) shown as active in public data?
Registry records indicate TERRY JOHN WAGNER (D.O.) maintains an active NPI.
How would a patient describe TERRY JOHN WAGNER (D.O.)'s focus?
For TERRY JOHN WAGNER (D.O.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is TERRY JOHN WAGNER (D.O.) registered?
Use Hudson, Ohio as the headline location for TERRY JOHN WAGNER (D.O.) here.
Can I trust this NPI listing for TERRY JOHN WAGNER (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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