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Active NPI 1235160102 Individual Practitioner Male Practitioner

Dr. Gary Wagner , MD

Dermatology • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Gary Wagner, MD is a registered healthcare professional specializing in Dermatology in Modesto, CA. Practice services are available at 600 COFFEE RD under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Coffee Rd

Modesto, CA 953554201

Telephone 2095241211
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Modesto, CA (2182 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
536 117 $27.00 $6.54
99213 Established patient office or other outpatient visit, typically 15 minutes
437 341 $208.00 $78.95
17000 Destruction of skin growth
166 152 $203.00 $67.71
17004 Destruction of precancer skin growth, 15 or more growths
107 87 $586.00 $169.63
99202 New patient office or other outpatient visit, typically 20 minutes
62 62 $216.00 $79.92
17110 Destruction of up to 14 skin growths
31 29 $439.00 $120.98
11102 Tangential biopsy of single skin lesion
18 17 $306.00 $101.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
16 16 $132.00 $48.11

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CA A24987

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00A249871 (CA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003008590

Doctor of Medicine (M.D.)

NPI 1003866344

Doctor of Podiatric Medicine

Dr. Wallace Carroll , MD

Allergy & Immunology - Allergy

NPI 1003874124

Doctor of Medicine (M.D.)

Dr. Vivian Tan , MD

Anesthesiology

NPI 1013951425

Doctor of Medicine (M.D.)

NPI 1013974567

Doctor of Medicine (M.D.)

Dr. David Betz , MD

Anesthesiology

NPI 1023074820

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2016

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095241211)

📍
Updated Business Mailing Address April 01, 2016

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095216097)

👤
Provider Name / Credentials Updated April 01, 2016

Recorded as GARY WAGNER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Dermatology (License #A24987 in CA)

🟢
Initial NPI Registration & Enumeration July 06, 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: 1235160102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: April 01, 2016
Sole Proprietor: No

Mailing Address

600 Coffee Rd

Modesto, CA 953554201

Phone: 2095216097

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.