MARK DAVID WAGNER M.D. NPI 1649211764

NPI Information

  • NPI: 1649211764
  • Provider Name: MARK DAVID WAGNER, M.D.
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 DEXTER AVE N STE 320
    SEATTLE, WA
    ZIP 98109
  • Phone: (206) 620-0333

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NPI Details

Mark David Wagner, M.D. is a sports medicine family medicine in Seattle, WA with 43 years of experience. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Mark David Wagner, M.D. NPI is 1649211764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:1982

The provider's business location address is:

1000 DEXTER AVE N STE 320
SEATTLE, WA
ZIP 98109-878
Phone: (206) 620-0333
Fax: (206) 462-7520

The NPI 1649211764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg (HCPCS:J7322)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)

The enumeration date for this NPI number is 6/9/2006 and was last updated on 5/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QS0010XFamily MedicineSports MedicineMD00022633WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1378219OTHERWASHINGTONLABOR AND INDUSTRY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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