MARK DAVID WAGNER (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1649211764
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for MARK DAVID WAGNER (M.D.)
1000 Dexter Ave N Ste 320
Seattle, WA 981094878
Phone: (206) 620-0333
Fax: (206) 462-7520
Type: Location
320, Dexter Avenue North, Jeffville, Belltown, Seattle, King County, Washington, 98109, United States
SEATTLE, WA 981094878
Phone: (206) 620-0333
Fax: (206) 462-7520
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $385.
Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Antares Pharma, Inc. ($187).
Total Amount
$385
General + Research + Ownership
Payments
25
Total payment records
General Amount
$385
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 |
|---|---|
| Antares Pharma, Inc. | $187 |
| Novo Nordisk Inc | $93 |
| Halozyme Inc | $35 |
| DePuy Synthes Sales Inc. | $18 |
| Ferring Pharmaceuticals Inc. | $18 |
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: 2010-05-11
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 |
|---|---|---|---|---|
| I20100511000503 | I | Family Practice | WA | 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 | 2,928 | 27 | $0 |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,560 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 139 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 156 | 119 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 137 | 95 | $0 |
Insurance plans in this area (ZIP 98109)
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