Active NPI
Daniel B. Wagner, D.O.
- Adult Reconstructive Orthopaedic Surgery Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- M6450
- Practice address
- 2901 Acme Brick PLZ
Fort Worth, TX 76109-4124 - Phone
- (817) 529-1900
- Fax
- (817) 529-1910
- NPI assigned
- Apr 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | M6450 | TX | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | M6450 | TX | Primary |
Addresses
Primary practice location
2901 Acme Brick PLZ
Fort Worth, TX 76109-4124
Mailing address
2901 Acme Brick PLZ
Fort Worth, TX 76109-4124
Phone (817) 529-1900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Kansas City University of Physicians and Surgeons, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Green Oaks Physical Therapy Limited Partnership
Practice addresses (Care Compare)
2901 Acme Brick PLZ
Fort Worth, TX 76109-4124
Phone 81752919002010
350 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 717-5390
Hospital & facility affiliations
- DFW Home Health
- Texas Health Harris Methodist Hospital Southwest F
- Baylor Scott and White Surgical Hospital Fortworth
- Texas Health Harris Methodist Fort Worth
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.11 of 100
- Quality
- 55.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.67 of 100
- Quality
- 37.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 37 |
| Knee replacement | 61 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6450 | TX | MD | Adult Reconstructive Orthopaedic Surgery Physician |
| 3554 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael H Boothby, MD PA | Orthopaedic Surgery | Current | Accepting new patients |
| Institute for Bone and Joint Disorders PC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2901 Acme Brick Plz
Ft Worth, TX 76109
Phone (817) 423-2329
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Fort Worth, TX
- NPI 1871878876
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1376513291
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Fort Worth, TX
- NPI 1568883775
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871599183
-
- Home Health Agency
- Ft Worth, TX
- NPI 1619237310
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1750348314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 ACME BRICK PLZ",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094124",
"telephone_number": "817-529-1900",
"fax_number": "817-529-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 ACME BRICK PLZ",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094124",
"telephone_number": "817-529-1900",
"fax_number": "817-529-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "DANIEL",
"middle_name": "B.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "M6450",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "TX",
"license": "M6450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.