Active NPI
Lee S Wagmeister, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01052501A
- Practice address
- 4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-8925 - Phone
- (812) 842-0907
- Fax
- (812) 464-0536
- NPI assigned
- May 3, 2006
- Last updated
- May 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01052501A | IN | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 36924 | KY |
Addresses
Primary practice location
4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-8925
Mailing address
4015 Gateway Blvd Ste 2120
Newburgh, IN 47630-8925
Phone (812) 492-5457
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000475621-01 | Other | WELBORN HEALTH PLANS | |
| 438544 | Other | HEALTHLINK | |
| 000000174053 | Other | ANTHEM | |
| 330005278 | Other | IN RR MCR | |
| 832011P | Other | SIHO | |
| 200267590 | Medicaid | IN | |
| 64024532 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Phone (812) 450-7899
Hospital & facility affiliations
- Deaconess Hospital Inc
- Gibson General Hospital
- Memorial Hospital and Health Care Center
- Fairfield Memorial Hospital 1
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.62 of 100
- Quality
- 72.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 65 |
| Pacemaker insertion or repair | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36924 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Specialty Physicians, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
Locations
520 Mary St
Ste 230
Evansville, IN 47710
Phone (812) 450-8600
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907
4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457
1138 N Elm St
Henderson, KY 42420
Phone (270) 827-8811
2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059
2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811
Interoperability endpoints
- lwagmeister25577@direct.deaconess.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Cardiovascular Disease Physician
- Henderson, KY
- NPI 1124522750
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1831980945
-
- Cardiovascular Disease Physician
- Princeton, IN
- NPI 1851895486
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Cardiovascular Disease Physician
- Owensboro, KY
- NPI 1114421740
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1063470649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 GATEWAY BLVD STE 2120",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308925",
"telephone_number": "812-492-5457",
"fax_number": "812-464-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 GATEWAY BLVD",
"address_2": "SUITE 2120",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308925",
"telephone_number": "812-842-0907",
"fax_number": "812-464-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGMEISTER",
"first_name": "LEE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01052501A",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "36924",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELBORN HEALTH PLANS",
"identifier": "0000475621-01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "438544",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000174053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN RR MCR",
"identifier": "330005278",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "832011P",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200267590",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64024532",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.