George G Wagner, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35054831 Issued in OH

Practice address

5400 Kennedy Ave
Cincinnati, OH 45213-2664

Phone

(513) 281-3400

NPI assigned

May 30, 2006

Last updated

Aug 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, KY, FL, WY, PA, MI, TX7 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 7

Specialty

Diagnostic Radiology

Education

Louisiana State University School of Medicine in New Orleans, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians

Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Hoskinson Health and Wellness Clinic LLCGroup PAC ID 1153706346, 54 clinicians

Proscan Womens Imaging at RedbankGroup PAC ID 3577584606, 7 clinicians

Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians

CT at MidtownGroup PAC ID 9335045681, 34 clinicians

Proscan Radiology Northern Kentucky, LLCGroup PAC ID 9537417399, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Temple University Hospital Hospital, Philadelphia, PA, CCN 390027
• Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score

55 of 100Reported as group

Quality

10

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

19.04 of 100Reported as group

Quality

4.75

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

15 of 100Reported as group

Quality

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CT at Midtown

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1508856667
  Medicare reassignment Care Compare group NPD
• Proscan Radiology, LLC

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1588654610
  Medicare reassignment Care Compare group NPD
• Proscan Womens Imaging at Redbank

  dba Proscan Womens Imaging Center

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1013907120
  Medicare reassignment Care Compare group NPD
• Hoskinson Health & Wellness Clinic LLC

  • Multi-Specialty Clinic/Center
  • Gillette, WY
  • NPI 1376280750
  Medicare reassignment Care Compare group NPD
• Proscan NCH Imaging LLC

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1003406711
  Medicare reassignment Care Compare group NPD
• Proscan Radiology Northern Kentucky, LLC

  • Diagnostic Radiology Physician
  • Crestview Hills, KY
  • NPI 1225535966
  Medicare reassignment Care Compare group NPD
• Temple Faculty Practice Plan Inc

  dba Temple Faculty Anesthesiology Associates

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1881176949
  Medicare reassignment Care Compare group NPD
• Alliance Physician Services of Michigan, P.C.

  dba Michigan Institute of Urology

  • Urology Physician
  • Saint Clair Shores, MI
  • NPI 1427027416

  Diagnostic Radiology

  Medicare reassignment NPD
• Alliance Physician Services, PC

  dba MidLantic Urology

  • Urology Physician
  • Paoli, PA
  • NPI 1952829350
  Medicare reassignment NPD
• Nicholasville Road MRI, LLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1740270818
  Medicare reassignment NPD
• Urology San Antonio P a

  • Urology Physician
  • San Antonio, TX
  • NPI 1346285772
  Medicare reassignment NPD
• Cincinnati Imaging Leasing Company, LTD.

  dba ProScan Imaging Midtown

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1447240502
  NPD

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

• Naples Community Hospital Inc

  dba NCH Healthcare System Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• Temple University Hospital, Inc

  dba The Temple University Hospital Fox Chase Cancer Center Buckingham Outp

  • Clinic/Center
  • Furlong, PA
  • NPI 1093404386

  Hospital

  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple University Hospital-Fox Chase Outpatient Department

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1275157455
  Care Compare affiliation
• Temple University Hospital, Inc

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1275682148

  Hospital

  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple University Hospital - Jeanes Campus

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1356981443
  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple University Hospital Fox Chase Cancer Center East Norriton Outpa

  • Clinic/Center
  • East Norriton, PA
  • NPI 1407612922

  Hospital

  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple University Hospital Fox Chase Cancer Center at Chestnut Hill Ho

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1871368654
  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple Women and Families Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1932813789
  Care Compare affiliation
• Temple University Hospital, Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1962579029
  Care Compare affiliation

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1992752265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132664",
            "telephone_number": "513-281-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132664",
            "telephone_number": "513-281-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "GEORGE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35054831",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "OH",
            "license": "35054831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0816406",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64865140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Brooke Wagner, OTR/L
• Amy Elizabeth Wagner, CNP
• Breanna Wagner
• Cara Wagner, CT
• Elizabeth Wagner
• Hannah Wagner
• Jacob Wagner
• Jennifer Lynn Wagner, R.N.
• Jessica E Wagner
• John J Wagner, PSY.D

• Diagnostic Radiology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.