THEODORE T WAGNER MD NPI 1831162791

NPI Details

Theodore T Wagner, MD is an urology in Fort Wayne, IN with 32 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Theodore T Wagner, MD NPI is 1831162791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

11141 PARKVIEW PLAZA DR STE 325
FORT WAYNE, IN
ZIP 46845-714
Phone: (260) 425-5400
Fax: (260) 425-5417

The NPI 1831162791 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.

• Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Automated urinalysis test (HCPCS:81003)
• Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
• Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
• Urinalysis, manual test (HCPCS:81002)
• Insertion of implant in urethra within prostate gland using an endoscope, each additional implant (HCPCS:52442)
• Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
• Insertion of stent in ureter using an endoscope (HCPCS:52332)
• Insertion of implant in urethra within prostate gland using an endoscope, 1 implant (HCPCS:52441)
• Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
• Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
• Shock wave crushing of kidney stones (HCPCS:50590)
• Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
• Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
• Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 2/10/2006 and was last updated on 3/21/2023.

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:

Other Identifiers

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