Active NPI
David B. Wagar, MD
- Diagnostic Radiology Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 195394
- 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, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195394 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clermont Radiology LLC | Current | Accepting new patients | |
| Northeast Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Clermont Radiology LLC | Current | Accepting new patients | |
| Northeast Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Omni Healthcare, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Afterhours Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Clermont Radiology LLC | Current | Accepting new patients | |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostic Institute Winter Park PLLC | Current | Accepting new patients | |
| Omni Healthcare, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Northeast Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Northern Radiology Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
| Northern Radiology Imaging Center, PLLC | Diagnostic Radiology | Past | 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.
-
- Radiology Clinic/Center
- Winter Park, FL
- NPI 1417917253
-
- Diagnostic Radiology Physician
- Plattsburgh, NY
- NPI 1215977020
-
dba Clermont Radiology-Kings Ridge
- Radiology Clinic/Center
- Clermont, FL
- NPI 1003328642
-
- Radiology Clinic/Center
- Clermont, FL
- NPI 1033426622
-
dba Clermont Radiology - Ocala
- Radiology Clinic/Center
- Ocala, FL
- NPI 1235770686
-
- Diagnostic Radiology Physician
- Danbury, CT
- NPI 1023498805
-
- Diagnostic Radiology Physician
- Watertown, NY
- NPI 1609845924
-
- Diagnostic Radiology Physician
- Watertown, NY
- NPI 1750370805
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
- Steven Joseph Vogl, MA, CCC-SLP
- Charles Philip Volk, MD
- CHI Kim Vu, D.D.S.
- Rajiv Pradeep Vyas, MD
- Roberta Lynn Wacker-Mundy, PHD
- Madeline Waid, M.D.
- Bethany Waite, LMSW
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1994)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Walgreen Co (Walgreens #11378)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.