Individual provider Active NPI

David B. Wagar, MD

  • Diagnostic Radiology Physician
  • Plattsburgh, NY
National Provider Identifier
1528051000
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
195394 Issued in NY
Practice address
16 Degrandpre Way
Suite 600
Plattsburgh, NY 12901
Phone
(518) 563-0490
Fax
(518) 563-0707
NPI assigned
Aug 30, 2005
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 195394 NY Primary

Addresses

Primary practice location

16 Degrandpre Way
Suite 600
Plattsburgh, NY 12901

Mailing address

PO Box 2007
East Syracuse, NY 13057-4507
Phone (315) 362-5285

Other practice location 1

871 Oakley Seaver Dr
Clermont, FL 34711-1968
Phone (855) 672-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180202001834 NY Practitioner - Diagnostic Radiology 7214928944
I20200227001214 VT Practitioner - Diagnostic Radiology 7214928944 Reassigns benefits to 2 organizations
I20260120003150 FL Practitioner - Diagnostic Radiology 7214928944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Toronto, Faculty of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Diagnostic Institute Winter Park PLLCGroup PAC ID 5991607871, 9 clinicians
Omni Healthcare, IncGroup PAC ID 5496652380, 42 clinicians
Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians
Northeast Radiology PCGroup PAC ID 7315838448, 12 clinicians

Practice addresses (Care Compare)

111 N Lakemont Ave
Suite 1a
Winter Park, FL 32792-3216
Phone (407) 975-3315

1344 S Apollo Blvd
Suite 102
Melbourne, FL 32901-3183
Phone (321) 777-7888

2895 Route 78
Alburgh, VT 05440-4113
Phone (754) 206-6226

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195394NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clermont Radiology LLC CurrentSince Oct 1, 2024 Accepting new patients
Northeast Radiology PC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Clermont Radiology LLC CurrentSince Oct 1, 2024 Accepting new patients
Northeast Radiology PC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Omni Healthcare, Inc. Diagnostic Radiology CurrentSince Nov 13, 2025 Accepting new patients
Afterhours Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Clermont Radiology LLC CurrentSince Oct 1, 2024 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince May 10, 2025 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince May 10, 2025 Accepting new patients
University Diagnostic Institute Winter Park PLLC CurrentSince Nov 14, 2025 Accepting new patients
Omni Healthcare, Inc Diagnostic Radiology PastSince Nov 13, 2025 Accepting new patients
Northeast Radiology PC Diagnostic Radiology Past Accepting new patients
Northern Radiology Associates, PC Diagnostic Radiology PastSince Feb 21, 2021 Accepting new patients
Northern Radiology Imaging Center, PLLC Diagnostic Radiology PastSince Feb 21, 2021 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Valcour Imaging LLC Past Accepting new patients

Locations

871 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 241-6100

605 Crescent Executive Ct
Ste 124
Lake Mary, FL 32746

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

5787 Vineland Rd
Ste 101
Orlando, FL 32819

5201 Babcock St NE
Ste 5
Palm Bay, FL 32905
Phone (321) 676-5323

111 N Lakemont Ave
Ste 1A
Winter Park, FL 32792

111 N Lakemont Ave
Ste 2E
Winter Park, FL 32792
Phone (407) 628-5838

666 Lexington Ave
Mount Kisco, NY 10549
Phone (914) 666-5125

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1528051000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2007",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574507",
            "telephone_number": "315-362-5285",
            "fax_number": "518-563-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY",
            "address_2": "SUITE 600",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-563-0490",
            "fax_number": "518-563-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Oakley Seaver Dr",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111968",
            "country_code": "US",
            "telephone_number": "855-672-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGAR",
        "first_name": "DAVID",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "195394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.