Cody L. Wagner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01059456 Issued in IN

Practice address

718 N Lincoln St
Greensburg, IN 47240-1348

Phone

(812) 662-0588

Fax

(812) 663-5932

NPI assigned

Jun 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Family Practice

Education

University of Washington School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
• Decatur County Memorial Hospital Hospital, Greensburg, IN, CCN 151332
• Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329
• Aspen Place Health Campus Nursing home, Greensburg, IN, CCN 155797

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cody.wagner@direct.dcmh.net

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.

• Decatur County Memorial Hospital

  • Critical Access Hospital
  • Greensburg, IN
  • NPI 1952300477
  Medicare reassignment Care Compare group NPD
• Decatur County Memorial Hospital

  • Institutional Pharmacy
  • Greensburg, IN
  • NPI 1033216429
  NPD
• Decatur County Memorial Hospital

  • Rural Health Clinic/Center
  • Greensburg, IN
  • NPI 1437900800

  Family Medicine

  NPD
• Decatur County Memorial Hospital

  • General Practice Physician
  • Greensburg, IN
  • NPI 1619193505
  NPD
• Decatur County Memorial Hospital

  • Skilled Nursing Facility
  • Greensburg, IN
  • NPI 1295720365
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Decatur County Memorial Hospital

  • Critical Access Hospital
  • Greensburg, IN
  • NPI 1952300477
  Care Compare affiliation
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Greensburg, IN
  • NPI 1477812329

  Nursing home

  Care Compare affiliation
• Margaret Mary Community Hospital Inc

  • Critical Access Hospital
  • Batesville, IN
  • NPI 1558368449
  Care Compare affiliation
• Suburban Home Health, LLC

  • Home Health Agency
  • Noblesville, IN
  • NPI 1598872939
  Care Compare affiliation

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1942248570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401348",
            "telephone_number": "812-662-0588",
            "fax_number": "812-663-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401348",
            "telephone_number": "812-662-0588",
            "fax_number": "812-663-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CODY",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200123810A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessilyn N Tunny, RBT
• Danielle D Turnak, M.D.
• Nancy Ann Turner
• Bridget Van Patten, BCBA
• Emily Kathleen Verseman, FNP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Shelly Marie Walsman, NP
• Scott Tyrus Washburn, MD

• Family Medicine Physician in Greensburg, IN
• Providers in Greensburg, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.