Austin J Wagner, D.O.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

2015007378 Issued in MO

Practice address

3600 NE Ralph Powell Rd Ste D
Lees Summit, MO 64064-2369

Phone

(816) 675-0920

NPI assigned

Jul 28, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Vascular Surgery

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sage Medical Prof LLCGroup PAC ID 4385992619, 15 clinicians

Vascular and Interventional Radiology of SiouxlandGroup PAC ID 7113330663, 24 clinicians

Restore Muscle and Joint LLCGroup PAC ID 9830346824, 12 clinicians

Midwest Aortic and Vascular Institute PCGroup PAC ID 7911919360, 5 clinicians

Shawnee Mission Medical Center IncGroup PAC ID 9537119037, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• NKC Health Hospital, North Kansas City, MO, CCN 260096
• Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208
• Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
• Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

Merit-based Incentive Payment System (MIPS)

Final score

86.53 of 100Reported as group

Quality

59.66

Promoting interoperability

100

Improvement activities

40

Cost

74.66

Merit-based Incentive Payment System (MIPS)

Final score

92.8 of 100Reported as group

Quality

87.79

Promoting interoperability

97

Improvement activities

40

Cost

74.04

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1811/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Aortic & Vascular Institute, P.C.

  • Vascular Surgery Physician
  • North Kansas City, MO
  • NPI 1164476339

  MO, Vascular Surgery

  Medicare reassignment Care Compare group NPD
• Restore Muscle and Joint, LLC

  • Orthopaedic Surgery Physician
  • Kansas City, MO
  • NPI 1962767061

  MO

  Medicare reassignment Care Compare group NPD
• Sage Medical Prof LLC

  • Vascular Surgery Physician
  • Dakota Dunes, SD
  • NPI 1588156657

  KS, MO, Vascular Surgery

  Medicare reassignment Care Compare group NPD
• Vascular & Interventional Radiology of Siouxland

  • Vascular Surgery Physician
  • Dakota Dunes, SD
  • NPI 1225636129

  KS, MO, Vascular Surgery

  Medicare reassignment Care Compare group NPD
• Shawnee Mission Medical Center Inc

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690

  KS

  Medicare reassignment Care Compare group
• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330

  MO

  Medicare reassignment NPD
• Western Missouri Medical Center

  • Dermatology Physician
  • Warrensburg, MO
  • NPI 1144103029
  NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Midwest Division - LSH, LLC

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1225085871

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  • Skilled Nursing Facility
  • North Kansas City, MO
  • NPI 1437103215

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  • General Acute Care Hospital
  • North Kansas City, MO
  • NPI 1629062799

  Hospital

  Care Compare affiliation
• Adventhealth South Overland Park, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1316536253

  Hospital

  Care Compare affiliation
• Saint Lukes South Hospital, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1154303337

  Hospital

  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634

  Hospital

  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1285899401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NE RALPH POWELL RD STE D",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642369",
            "telephone_number": "816-675-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NE RALPH POWELL RD STE D",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642369",
            "telephone_number": "816-675-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 W Frontier Ln",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617216",
            "country_code": "US",
            "telephone_number": "816-675-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "AUSTIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KS",
            "license": "05-41644",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2015007378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalese Sara Von Gremp, HIS
• Gabrielle Voyles, CIT
• Mary Wachai, CNP
• Lloyd Denton Waggener, M.S.
• Penny Waggener, RPT
• Karen Schiess Wagner, PH D
• Amanda G Wait, D.O.
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• All providers in Lees Summit, MO
• Vascular Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.

Verify at the official NPI Registry.