Samuel Kevin Wagner, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34.016708 Issued in OH

Practice address

5300 N Meadows Dr
Grove City, OH 43123-2546

Phone

(614) 663-4550

Fax

(614) 663-4555

NPI assigned

Apr 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Internal Medicine

Education

Ohio University, College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Carmel Health SystemGroup PAC ID 6709793367, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Merit-based Incentive Payment System (MIPS)

Final score

94.28 of 100Reported as group

Quality

99.21

Improvement activities

40

Cost

62.72

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swagner1143387@direct.trinity-health.org

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.

• Mount Carmel Health System

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1457617235
  Medicare reassignment Care Compare group NPD
• Mount Carmel Health System

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1710752183
  NPD
• Mount Carmel Health

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1790708147
  NPD (past)
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  NPD (past)

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

• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1891324125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N MEADOWS DR",
            "address_2": "BLDG 2 STE 4800",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-663-4550",
            "fax_number": "614-663-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N MEADOWS DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-663-4550",
            "fax_number": "614-663-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SAMUEL",
        "middle_name": "KEVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.016708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Victoria Vorys
• Danielle Elizabeth Vorys
• Meghan R. Vucetic, CRNA
• W D Henceroth DO Inc
• Jasmine Wagner
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Jamilah Renee Walker, MASSAGE THERAPY
• Douglas C Wallace, MD

• Internal Medicine Physician in Grove City, OH
• Providers in Grove City, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.

Verify at the official NPI Registry.