Active NPI 1487634085 Individual Practitioner Male Practitioner

Dr. John H Wagner , MD, CMD

General Practice • Cullman, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Wagner, MD, CMD is a certified General Practice practicing in Cullman, AL. With approximately 49 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 1977, Dr. Wagner delivers high-quality medical care to the local community at 401 ARNOLD ST NE.

Dr. Wagner is affiliated with Eastern Hospital Medicine and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 Arnold St Ne

Cullman, AL 350551968

Telephone 2567399593

Fax 2567392984

Associated Practice Facility / Clinic

🏢 Usa Healthcare Ltc Llc Facility NPI 1962408310

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Cullman, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs Matches City Avg

City Avg: 49.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Cullman, AL (157 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (49 Years) 49 Yrs

Cullman Specialty Average (49.0 Years) 49.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	583	226	$79.00	$67.91
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	73	37	$120.00	$73.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	12	11	$79.00	$67.91
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	12	11	$120.00	$73.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	190	146	$164.00	$99.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	179	167	$181.70	$124.75
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	118	106	$76.00	$36.93
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	107	102	$124.82	$75.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	91	85	$58.04	$37.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	67	64	$77.96	$69.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	59	56	$119.00	$69.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	47	43	$158.19	$99.18
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	29	28	$188.00	$124.74
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	23	18	$145.00	$75.31
99221 Initial hospital inpatient care per day, typically 30 minutes	16	14	$131.54	$77.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$201.00	$122.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	402	215	$70.22	$65.16
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	290	238	$91.27	$84.70
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	69	53	$44.56	$41.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	35	33	$131.81	$122.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	29	$92.52	$86.34
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$107.35	$96.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	339	196	$94.33	$87.88
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	229	202	$93.75	$87.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	219	142	$71.92	$66.65
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	166	151	$134.35	$125.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	366	222	$96.20	$87.90
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	284	177	$72.88	$66.57
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	253	228	$96.18	$87.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	221	197	$137.80	$124.98
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	89	84	$141.45	$128.92
99221 Initial hospital inpatient care per day, typically 30 minutes	53	52	$106.51	$97.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	600	467	$96.34	$84.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	545	266	$72.84	$64.75
99221 Initial hospital inpatient care per day, typically 30 minutes	241	205	$106.51	$95.16
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	168	155	$137.92	$122.82
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	133	121	$141.45	$127.56
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	105	89	$96.29	$85.99
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	38	34	$46.93	$41.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	763	605	$95.98	$83.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	553	294	$72.09	$63.48
99221 Initial hospital inpatient care per day, typically 30 minutes	291	251	$106.30	$92.66
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	192	133	$46.75	$41.10
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	66	64	$137.58	$119.98
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	29	$96.04	$83.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	754	653	$97.76	$86.12
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	528	440	$52.76	$42.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	457	392	$74.67	$64.99
99221 Initial hospital inpatient care per day, typically 30 minutes	69	68	$106.85	$95.34
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	26	24	$142.64	$123.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	11	11	$95.18	$86.10

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AL 8613

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

009935241 (AL)

Medicaid State Provider ID

000027867 (AL)

Commercial Insurance / Payer ID Bc/bs Of Alabama

051551301 (AL)

Commercial Insurance / Payer ID Metra Railroad Medicare

010066311 (AL)

Commercial Insurance / Payer ID Bc/bs Of Alabama

51027867 (AL)

Hospital & Practice Group Affiliations

Eastern Hospital Medicine

50 Medical Park E Dr, Birmingham, AL 352353401

Phone: 2058383000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Candise Smith , CRNP

Nurse Practitioner

NPI 1649581844

Certified Registered Nurse Practitioner

Dr. Cassandra Frieson , DNP, CRNP

Nurse Practitioner

NPI 1740269802

Doctor of Nursing Practice, Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2009

Registered at 401 ARNOLD ST NE, CULLMAN, AL 350551968 (Tel: 2567399593)

📍

Updated Business Mailing Address November 02, 2009

Registered at PO BOX 339, 401 ARNOLD STREET NE, CULLMAN, AL 350560339 (Tel: 2567399593)

👤

Provider Name / Credentials Updated November 02, 2009

Recorded as JOHN WAGNER, M.D., C.M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2009

General Practice (License #8613 in AL)

🟢

Initial NPI Registration & Enumeration January 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487634085

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 19, 2006

Last Update: November 02, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 339, 401 Arnold Street Ne

Cullman, AL 350560339

Phone: 2567399593

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.