DR. THERESA EBANKS WAGNER (M.D.) – Ophthalmology Physician, NPI 1912984857
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. THERESA EBANKS WAGNER (M.D.)
950 W University Ave
Ste #108
Georgetown, TX 786266505
Phone: (512) 327-7000
Fax: (512) 869-0848
Type: Location
5717, Balcones Drive, Highland Hills, Austin, Travis County, Texas, 78731, United States
AUSTIN, TX 787314203
Phone: (512) 327-7000
Fax: (512) 314-1660
Type: Mailing
Starwood Drive, Cedar Park, Williamson County, Texas, 78613, United States
CEDAR PARK, TX 78613
Phone: (512) 327-7000
Fax: (512) 259-3802
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,205.
Total Amount is formed as General ($1,205) + Research ($0) + Ownership ($0) = $1,205.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Alcon Vision LLC ($451).
Total Amount
$1,205
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,205
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $451 |
| RxSight Inc | $143 |
| Sun Pharmaceutical Industries Inc. | $135 |
| Bausch & Lomb Americas Inc. | $124 |
| BIOTISSUE HOLDINGS, INC. | $74 |
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: 2010-01-11
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 |
|---|---|---|---|---|
| I20100111000683 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 508 | 479 | $0 |
| 92133 | Imaging of optic nerve | 161 | 148 | $0 |
| 92012 | Established patient problem focused exam of visual system | 125 | 109 | $0 |
| 92083 | Exam of visual field with extended testing | 90 | 83 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 87 | 50 | $0 |
Insurance plans in this area (ZIP 78626)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TX | |
| - | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P T O M E T R Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P T O M E T R Y | NY | |
| O P H T H A L M O L O G Y | LA |
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.