DR. ROBERT HARRISON WAGNER (MD) – Interventional Pain Medicine Physician, NPI 1457329997
Interventional Pain Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
95 INTERVENTIONAL PAIN MANAGEMENT in VA
Provider Addresses for DR. ROBERT HARRISON WAGNER (MD)
1750 Tysons Blvd Ste 120
Mc Lean, VA 221024227
Phone: (703) 738-4381
Type: Location
11350, McCormick Road, Hunt Valley, Cockeysville, Baltimore County, Maryland, 21030, United States
EXECUTIVE PLAZA 1, SUITE 501
HUNT VALLEY, MD 21031
Phone: (410) 329-1071
Fax: (410) 329-1054
Type: Mailing
Arlington Boulevard, Falls Church, Fairfax County, Virginia, 22044, United States
FAIRFAX, VA 22031
Phone: (703) 738-4331
Fax: (703) 642-1876
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $176.
Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Bioventus LLC ($54).
Total Amount
$176
General + Research + Ownership
Payments
6
Total payment records
General Amount
$176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $54 |
| ABBVIE INC. | $41 |
| DePuy Synthes Sales Inc. | $32 |
| VERTEX PHARMACEUTICALS INCORPORATED | $28 |
| Fidia Pharma USA Inc. | $21 |
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: 2005-01-12
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 |
|---|---|---|---|---|
| I20050112000722 | I | Interventional Pain Management | DC | 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 |
|---|---|---|---|---|
| J7322 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg | 866 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 221 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 82 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 56 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
Insurance plans in this area (ZIP 22102)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | VA | |
| - | MD | |
| - | VA | |
| Nurse Practitioner | VA | |
| Pain Management, Anesthesiology, Pain Management | MD | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | VA | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | VA | |
| Physician Assistant | MD | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | MD | |
| Nurse Practitioner | VA |
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