Scott Forbes Wagner, MD
Individual provider Active NPI Pediatrics Physician · Sterling, MA
NPI 1356801237 · NPPES record last updated Jan 20, 2026
Key facts
- NPI
- 1356801237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 292441 (MA)
- Practice address
- 225 Leominster Rd
Sterling, MA 01564-2148 - Phone
- (978) 422-6900
- Fax
- (978) 422-7561
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
281 Lincoln St
Worcester, MA 01605-2192
PO Box
Boston, MA 02241
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260128000658 | MA | Practitioner - Pediatric Medicine | 7113253428 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292441 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Pediatrics | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Primary Care Health Partners - Vermont LLP | Pediatrics | Current |
Accepting new patients |
| Primary Care Health Partners - New York LLP | Pediatrics | Past |
Accepting new patients |
| Primary Care Health Partners | Pediatrics | Past |
Accepting new patients |
| Northampton Area Pediatrics, LLP | Pediatrics | Past |
Accepting new patients |
Locations
225 Leominster Rd
Sterling, MA 01564
Phone (978) 422-6900
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
1127 North Ave
Ste 1
Burlington, VT 05408
Phone (802) 846-8100
51 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0521
600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140
Interoperability endpoints
- swagner@pchpmd.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 292441 | MA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
225 Leominster Rd
Sterling, MA 01564-2148
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
193 Locust St
Northampton, MA 01060-2056
Phone (413) 584-8700
Other practice location 2
51 Timber Ln
South Burlington, VT 05403-5201
Phone (802) 865-0521
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | swagner@pchpmd.medentdirect.com | Direct |
Other providers in Sterling, MA
- Sierra Thumann
- Ayla Scott Thurstan
- Town of Sterling
- Visiting Lactation Consultants
- Wachusett Speech and Language Therapy LLC
- Mary Ann White
- Heather Whitney
All providers in Sterling, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.