Individual provider Active NPI

Marcus M Wagner, M.D.

  • Radiation Oncology Physician
  • Chattanooga, TN
National Provider Identifier
1770780686
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
48652 Issued in TN
Practice address
605 Glenwood Drive
Suite 200
Chattanooga, TN 37404-1130
Phone
(423) 698-1844
Fax
(423) 624-2226
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN11513 FL
Radiation Oncology Physician 2085R0001X 48652 TN Primary

Addresses

Primary practice location

605 Glenwood Drive
Suite 200
Chattanooga, TN 37404-1130

Mailing address

PO Box 440100
Nashville, TN 37244-0100
Phone (423) 698-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120725000734 TN Practitioner - Radiation Oncology 2769648302 Reassigns benefits to 2 organizations
I20120725000779 GA Practitioner - Radiation Oncology 2769648302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 492-4734

4750 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (706) 841-8050

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

605 Glenwood Dr
Suite 200
Chattanooga, TN 37404-1130
Phone (423) 698-1844

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN11513FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc CurrentSince Sep 1, 2024 Accepting new patients
Tennessee Oncology,PLLC Radiation Oncology CurrentSince Jan 1, 2013 Accepting new patients
Tennessee Oncology PLLC CurrentSince Jan 1, 2013 Accepting new patients
Memorial Health Partners Foundation, Inc Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 Accepting new patients

Locations

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

4700 Battlefield Pkwy
Ste 230
Ringgold, GA 30736
Phone (423) 698-1844

4750 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8050

2200 E 3rd St
Ste 100
Chattanooga, TN 37404
Phone (423) 648-2388

605 Glenwood Dr
Chattanooga, TN 37404
Phone (423) 629-6077

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1770780686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100",
            "telephone_number": "423-698-1844",
            "fax_number": "423-624-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DRIVE",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041130",
            "telephone_number": "423-698-1844",
            "fax_number": "423-624-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MARCUS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN11513",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "48652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.