DONNA RM WAGNER (M.D.) – Anesthesiology Physician, NPI 1487743969
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,592 ANESTHESIOLOGY in TX
Provider Addresses for DONNA RM WAGNER (M.D.)
2701 HOSPITAL DR
VICTORIA, TX 779015749
Phone: (361) 573-9181
Type: Location
1501, East Mockingbird Lane, Victoria, Victoria County, Texas, 77904, United States
#101
VICTORIA, TX 779042155
Phone: (361) 513-6291
Fax: (361) 576-2434
Type: Location
815 N Virginia St
Port Lavaca, TX 779793025
Phone: (361) 552-6713
Type: Location
6404 Nursery Dr Ste 300
Victoria, TX 779041688
Phone: (361) 570-8311
Type: Location
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: 2012-02-13
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 |
|---|---|---|---|---|
| I20120213000191 | I | Anesthesiology | TX | 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 |
|---|---|---|---|---|
| 01400 | Anesthesia for other procedure or exam of knee joint using an endoscope | 28 | 27 | $0 |
| 01630 | Anesthesia for other procedure on top of arm bone and shoulder joint | 17 | 17 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 17 | 17 | $0 |
Insurance plans in this area (ZIP 77901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | TX | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX |
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