Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770589053 Individual Practitioner Male Practitioner

Dr. Frederick Wagner , MD

Anesthesiology • Glen Carbon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Wagner, MD is a certified Anesthesiology practicing in Glen Carbon, IL. With approximately 29 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1997, Dr. Wagner delivers high-quality medical care to the local community at 5921 MERIDIAN WOODS DRIVE.

Dr. Wagner maintains professional affiliations with G And G Anesthesia Llc, Millennium Anesthesiology Consultants, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure in lower abdominal cavity including use of an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5921 Meridian Woods Drive

Glen Carbon, IL 620341545

Telephone 6183915883
Associated Practice Facility / Clinic
🏢 Roberta Kung Md Inc Facility NPI 1720020365

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Glen Carbon, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs -3.3 yrs vs City Avg
City Avg: 32.3 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Glen Carbon, IL (2670 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
96.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (29 Years) 29 Yrs
Glen Carbon Specialty Average (32.3 Years) 32.3 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
00811 Anesthesia for procedure on large bowel using an endoscope
51 51 $2041.37 $61.94
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
24 24 $2283.75 $77.50
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope
16 16 $4386.25 $150.74
00910 Anesthesia for other procedure on urinary system through urethra
14 14 $2154.29 $58.57
00813 Anesthesia for procedure on small and large bowel using an endoscope
13 13 $2498.46 $74.01
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand
11 11 $2056.36 $70.38

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License IL 036124604

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License MO 113352

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1770589053 (IL)
Medicaid State Provider ID
205374309 (MO)

Hospital & Practice Group Affiliations

Millennium Anesthesiology Consultants, Llc

6800 State Route 162, Maryville, IL 620628500

Phone: 6182885711

G And G Anesthesia Llc

6800 State Route 162, Maryville, IL 620628500

Phone: 6182885711

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1184620544

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2017

Registered at 5921 MERIDIAN WOODS DRIVE, GLEN CARBON, IL 620341545 (Tel: 6183915883)

📍
Updated Business Mailing Address April 14, 2017

Registered at 150 BLUFF AVE, NORTH AUGUSTA, SC 298413862 (Tel: 8003944445)

👤
Provider Name / Credentials Updated April 14, 2017

Recorded as FREDERICK WAGNER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2017

Anesthesiology (License #113352 in MO)

NPI Profile Active October 30, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2007

Registered at 615 S NEW BALLAS RD, SJMMC DEPT OF ANES, ST. LOUIS, MO 63141 (Tel: 6363869224)

📍
Updated Business Mailing Address October 30, 2007

Registered at 339 CONSORT DR, BALLWIN, MO 630114439 (Tel: 6363869224)

👤
Provider Name / Credentials Updated October 30, 2007

Recorded as FREDERICK WAGNER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2007

Anesthesiology (License #113352 in MO)

🟢
Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Frederick Wagner. Be the first to share your experience!

Sign in to leave a review for Dr. Frederick Wagner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1770589053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: April 14, 2017
Sole Proprietor: No

Mailing Address

150 Bluff Ave

North Augusta, SC 298413862

Phone: 8003944445

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.