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Active NPI 1952624884 Individual Practitioner Female Practitioner

Lynette Ann Wagner , OTR, L

Contractor • Clarkston, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lynette Wagner, OTR, L is a certified Contractor practicing in Clarkston, MI. With approximately 22 years of clinical experience since completing medical education in 2004, Lynette Wagner delivers high-quality medical care to the local community at 5774 GARNET CIR.

Lynette Wagner is affiliated with Powerback Rehabilitation Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, training for self-care or home management, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5774 Garnet Cir

Clarkston, MI 483483060

Telephone 5862426541

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Clarkston, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs Matches City Avg
City Avg: 22.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Clarkston, MI (262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (22 Years) 22 Yrs
Clarkston Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
290 13 $41.51 $23.38
97530 Therapy procedure using functional activities
270 13 $55.21 $35.87
97535 Training for self-care or home management, each 15 minutes
194 13 $46.95 $25.65
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
129 12 $48.03 $26.73
97150 Therapy procedure in a group setting
106 12 $27.13 $14.19

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License MI 5201006848

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Hospital & Practice Group Affiliations

Powerback Rehabilitation Llc

3041 Charlevoix Dr Se, Grand Rapids, MI 495467035

Phone: 6165527255

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 23, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2012

Registered at 5774 GARNET CIR, CLARKSTON, MI 483483060 (Tel: 5862426541)

📍
Updated Business Mailing Address April 23, 2012

Registered at 5774 GARNET CIR, CLARKSTON, MI 483483060

👤
Provider Name / Credentials Updated April 23, 2012

Recorded as LYNETTE WAGNER, OTR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2012

Contractor (License #5201006848 in MI)

🟢
Initial NPI Registration & Enumeration March 06, 2010

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: 1952624884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2010
Last Update: April 23, 2012
Sole Proprietor: No

Mailing Address

5774 Garnet Cir

Clarkston, MI 483483060

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.