WILLIAM J WAGNER (M.D.) – Emergency Medicine Physician, NPI 1215355607

WILLIAM J WAGNER (M.D.) is a healthcare provider. based in Green bay, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 70854 (WI). The NPI Number for WILLIAM J WAGNER (M.D.) is 1215355607

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM J WAGNER (M.D.)
NPI
1215355607
Phone
(920) 490-9046
Address
1035 KEPLER DR
Enumeration Date
2 April 2014
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207945000
Graduation Year
2014 (12 years ago)
PAC ID
3274751193
Group Practice PAC ID
9436067402
Professional Enrollment ID
I20190712001007
Address ID
WI542413900TW5000XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

1,309 EMERGENCY MEDICINE in WI

Provider Addresses for WILLIAM J WAGNER (M.D.)

  • 1035 KEPLER DR

    GREEN BAY, WI 543118320

    Phone: (920) 490-9046

    Fax: (920) 405-8005

    Type: Mailing

  • 2845 GREENBRIER RD

    GREEN BAY, WI 543116519

    Phone: (920) 288-8000

    Fax: (920) 288-4067

    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: 2019-07-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190712001007IEmergency MedicineWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making186181$0
99284Emergency department visit with moderate level of medical decision making5757$0
99291Critical care, first 30-74 minutes3635$0
99283Emergency department visit with low level of medical decision making1615$0
View full utilization report →

Insurance plans in this area (ZIP 54311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436067402View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWV
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineOR

Reviews

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Frequently asked questions

How do payers reference WILLIAM J WAGNER (M.D.)?
For WILLIAM J WAGNER (M.D.), use NPI 1215355607 as the unique 10-digit identifier.
Is WILLIAM J WAGNER (M.D.) shown as active in public data?
Registry records indicate WILLIAM J WAGNER (M.D.) maintains an active NPI.
What expertise is attributed to WILLIAM J WAGNER (M.D.)?
WILLIAM J WAGNER (M.D.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with WILLIAM J WAGNER (M.D.)?
Directory geography for WILLIAM J WAGNER (M.D.) centers on Green Bay, Wisconsin.
When was this NPI issued?
Enumeration for WILLIAM J WAGNER (M.D.) is noted as April 2, 2014 where the registry provides it.