NPIMap

Individual provider Active NPI

Timothy Wagner, M.D.

  • Orthopaedic Surgery Physician
  • Henrietta, NY
National Provider Identifier
1992143739
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
298142 Issued in NY
Practice address
50 Middle Rd
Henrietta, NY 14467
Phone
(585) 723-7600
Fax
(585) 334-6373
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 298142 NY Primary

Addresses

Primary practice location

50 Middle Rd
Henrietta, NY 14467

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 723-7600

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Other practice location 2

125 Parker Hill Ave
Boston, MA 02120
Phone (585) 747-8061

Other practice location 3

2115 Chili Ave
Rochester, NY 14624-3425
Phone (585) 723-7600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twagner265940@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190801001673 NY Practitioner - Orthopedic Surgery 4183926439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • HCR / HCR Home Care Chha (Rochester) Home health agency, Rochester, NY, CCN 337257
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Unity Hospital Hospital, Rochester, NY, CCN 330226
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement218
Knee replacement215
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 1, 2019 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Western New York Medical Practice P.C. CurrentSince Aug 1, 2019 Accepting new patients
Rochester General Hospital Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

50 Middle Rd
Henrietta, NY 14467
Phone (585) 235-4860

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

2115 Chili Ave
Rochester, NY 14624
Phone (585) 247-0070

Organizations & group practices 6

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 11

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1992143739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-723-7600",
            "fax_number": "585-334-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MIDDLE RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "14467",
            "telephone_number": "585-723-7600",
            "fax_number": "585-334-6373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "fax_number": "216-445-3585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Parker Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02120",
            "country_code": "US",
            "telephone_number": "585-747-8061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Chili Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146243425",
            "country_code": "US",
            "telephone_number": "585-723-7600",
            "fax_number": "585-247-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "298142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twagner265940@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "50 Middle Rd",
            "city": "Henrietta",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henrietta, NY

Sources for this page

Verify at the official NPI Registry.