Individual provider Active NPI

Gregg A Vagner, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Austin, TX
National Provider Identifier
1295705986
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
L3168 Issued in TX
Practice address
1301 W 38TH St Ste 102
Austin, TX 78705
Phone
(512) 454-4561
Fax
(512) 406-7330
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X L3168 TX
Surgery of the Hand (Surgery) Physician 2086S0105X L3168 TX Primary

Addresses

Primary practice location

1301 W 38TH St Ste 102
Austin, TX 78705

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142
Phone (512) 338-3802

Other identifiers 3

IdentifierTypeStateIssuer
173464203MedicaidTX
173464202MedicaidTX
173464201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000881 TX Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 0143287482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

940 Hesters Crossing Rd
Round Rock, TX 78681-8018
Phone (512) 244-9024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L3168TXMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Feb 16, 2019 Accepting new patients
Austin Regional Clinic, PA CurrentSince Jan 17, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Feb 16, 2019 Accepting new patients
Austin Regional Clinic, PA CurrentSince Jan 17, 2019 Accepting new patients
University of Utah Orthopedic Consultants Hand Surgery Past Accepting new patients
Seton Hospitalist Service Past Accepting new patients
Austin Southwest Orthopaedic Group, P.a. Hand Surgery Past Accepting new patients

Locations

4611 Guadalupe St
Ste 200
Austin, TX 78751
Phone (512) 583-4220

4515 Seton Center Pkwy
Ste 215
Austin, TX 78759
Phone (512) 338-3802

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6210 E Highway 290
Ste 420
Austin, TX 78723
Phone (512) 338-3802

6210 E Highway 290
Austin, TX 78723

1301 W 38th St
Ste 102
Austin, TX 78705
Phone (512) 454-4561

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024

Interoperability endpoints

  • Direct secure messaging: gvagner20944@arcmd.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1295705986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142",
            "telephone_number": "512-338-3802",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-454-4561",
            "fax_number": "512-406-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGNER",
        "first_name": "GREGG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "L3168",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "L3168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173464203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173464202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173464201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.