GREGORY VAN WAGNER – Emergency Medicine Physician, NPI 1255838959

GREGORY VAN WAGNER is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold a License No. MD.4237 (AL). The NPI Number for GREGORY VAN WAGNER is 1255838959

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY VAN WAGNER
NPI
1255838959
Phone
(215) 955-9837
Address
1020 SANSOM ST STE 1651B
Enumeration Date
9 April 2018
Last Update Date
1 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2059711000
Graduation Year
2018 (8 years ago)
PAC ID
7618223082
Group Practice PAC ID
7911909973
Professional Enrollment ID
I20210621002086
Address ID
AL352433326BI3690XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Loading map...

Provider Addresses for GREGORY VAN WAGNER

  • 1651, Sansom Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19103, United States

    PHILADELPHIA, PA 191075002

    Phone: (215) 955-9837

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Silk Road Medical, Inc. ($139).

Total Amount

$139

General + Research + Ownership

Payments

1

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Silk Road Medical, Inc.$139
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: 2021-06-21

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
I20210621002086IEmergency MedicineALTBD

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
99285Emergency department visit with high level of medical decision making184181$0
99284Emergency department visit with moderate level of medical decision making152150$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7065$0
99283Emergency department visit with low level of medical decision making3535$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

Loading plans...

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: 7911909973View full group profile
NameSpecialtyState
-CA
Physician AssistantAL
Emergency MedicineAL
Emergency MedicineAL
-AL
Emergency MedicineKY
Emergency MedicineAL
Emergency MedicineAL
Emergency MedicineTX
Nurse PractitionerAL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up GREGORY VAN WAGNER by NPI?
Use NPI 1255838959 when you need to reference GREGORY VAN WAGNER in forms, claims, or directories.
Does this profile mean GREGORY VAN WAGNER is currently active?
Yes — GREGORY VAN WAGNER appears active in the national provider directory.
Can you summarize GREGORY VAN WAGNER's specialty in plain language?
Clinically, the directory lists GREGORY VAN WAGNER with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does GREGORY VAN WAGNER practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for GREGORY VAN WAGNER alongside any extra practice locations.
What if Philadelphia, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

PHOENIX EMERGENCY MEDICINE OF BROWARD LLC

Emergency Medicine Physician
PO BOX 38048
NPI: 1992708887

JILL R KANE (D.O.)

Emergency Medicine Physician
PO BOX 8500-6335
NPI: 1124021431

SERENA M. BAQAI (D.O.)

Emergency Medicine Physician
3870, Manor Street, Manayunk, Philadelphia, Philadelphia County, Pennsylvania, 19128, United States
NPI: 1376543488

PERRY S PITKOW (MD)

Emergency Medicine Physician
Holy Redeemer Nazareth, 12265, Townsend Road, Philadelphia, Philadelphia County, Pennsylvania, 19154, United States
NPI: 1639171648

HENRY D UNGER (MD)

Emergency Medicine Physician
Holy Redeemer Nazareth, 12265, Townsend Road, Philadelphia, Philadelphia County, Pennsylvania, 19154, United States
NPI: 1457353468

HR PHYSICIAN SERVICES

Emergency Medicine Physician
Holy Redeemer Nazareth, 12265, Townsend Road, Philadelphia, Philadelphia County, Pennsylvania, 19154, United States
NPI: 1952303976

MICHAEL LUCCA (MD)

Emergency Medicine Physician
Holy Redeemer Nazareth, 12265, Townsend Road, Philadelphia, Philadelphia County, Pennsylvania, 19154, United States
NPI: 1790787638

LIZA R SOMERS (MD)

Emergency Medicine Physician
Holy Redeemer Nazareth, 12265, Townsend Road, Philadelphia, Philadelphia County, Pennsylvania, 19154, United States
NPI: 1841292794

ZACHARY FRANKLIN MEISEL (MD)

Emergency Medicine Physician
Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States
NPI: 1013919935