GRAHAM EDWARD WAGNER (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1083032858
Physical Medicine & Rehabilitation Physician
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Profile Insights
NPPES metrics only — not quality of care.
58 PHYSICAL MEDICINE AND REHABILITATION in NH
Provider Addresses for GRAHAM EDWARD WAGNER (M.D.)
PO BOX 680464
PARK CITY, UT 840680464
Phone: (435) 901-4647
Type: Mailing
ONE MEDICAL CENTER DR.
DHMC - DEPARTMENT OF PAIN MEDICINE
LEBANON, NH 037560001
Phone: (435) 901-4647
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($175).
Total Amount
$175
General + Research + Ownership
Payments
2
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Saluda Medical Americas, Inc. | $175 |
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: 2019-11-08
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 |
|---|---|---|---|---|
| I20191108002177 | I | Physical Medicine And Rehabilitation | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 157 | 114 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 128 | 108 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 77 | 64 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 70 | 46 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 55 | 39 | $0 |
Insurance plans in this area (ZIP 84068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | NC | |
| Physical Medicine And Rehabilitation | IL | |
| - | UT | |
| - | UT | |
| Physical Medicine And Rehabilitation | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT |
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