TIMOTHY ALLEN WAGNER (D.C.) – Chiropractor, NPI 1881644292

TIMOTHY ALLEN WAGNER (D.C.) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 3225 (OK). The NPI Number for TIMOTHY ALLEN WAGNER (D.C.) is 1881644292

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY ALLEN WAGNER (D.C.)
NPI
1881644292
Phone
(918) 742-2094
Address
2016 W. HOUSTON
Enumeration Date
10 May 2006
Last Update Date
10 July 2014

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
4183671852
Group Practice PAC ID
6103905971
Professional Enrollment ID
I20050405000532
Address ID
OK740128303Br2016XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

498 CHIROPRACTIC in OK

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Provider Addresses for TIMOTHY ALLEN WAGNER (D.C.)

  • 2016, West Houston Street, Broken Arrow, Tulsa, Oklahoma, 74012, United States

    BROKEN ARROW, OK 74012

    Phone: (918) 742-2094

    Fax: (918) 742-2095

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-04-05

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
I20050405000532IChiropracticOKTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions39036$0
98940Chiropractic manipulative treatment, 1-2 spinal regions30228$0
View full utilization report →

Insurance plans in this area (ZIP 74012)

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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: 6103905971View full group profile
NameSpecialtyState
C H I R O P R A C T I COK
-OK
C H I R O P R A C T I COK

Reviews

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Frequently asked questions

How is TIMOTHY ALLEN WAGNER (D.C.) identified in CMS data?
CMS-hosted NPPES data lists TIMOTHY ALLEN WAGNER (D.C.) with NPI 1881644292.
Can I rely on TIMOTHY ALLEN WAGNER (D.C.) being an active provider?
As of the registry snapshot, TIMOTHY ALLEN WAGNER (D.C.) is marked active.
What is TIMOTHY ALLEN WAGNER (D.C.)'s primary classification?
Chiropractor is the headline specialty for TIMOTHY ALLEN WAGNER (D.C.) here. Clinical services aligned with this taxonomy classification.
What address line appears for TIMOTHY ALLEN WAGNER (D.C.)?
TIMOTHY ALLEN WAGNER (D.C.)'s geographic hint is Broken Arrow, Oklahoma in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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