Active NPI 1982990057 Individual Practitioner Female Practitioner

Dr. Lilly Helene Wagner , MD

Ophthalmology • Rochester, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Lilly Wagner, MD is a certified Ophthalmology practicing in Rochester, MN. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Wagner delivers high-quality medical care to the local community at 200 1ST ST SW.

Dr. Wagner is affiliated with Mayo Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include exam of visual field with limited testing, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 1st St Sw

Rochester, MN 55905

Telephone 5072842511

Associated Practice Facility / Clinic

🏢 Mayo Collaborative Services, Inc Facility NPI 1093792350

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Rochester, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -1.0 yrs vs City Avg

City Avg: 17.0 Yrs

State Avg: 24.4 Yrs

Regional Practice Density

83 Specialists

Practicing in Rochester, MN (457 Statewide)

Telehealth Adoption Rate

1.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

85.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (16 Years) 16 Yrs

Rochester Specialty Average (17.0 Years) 17.0 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
92081 Exam of visual field with limited testing	64	63	$172.00	$34.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	54	$299.00	$129.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$490.00	$164.60
99213 Established patient office or other outpatient visit, typically 15 minutes	39	34	$234.00	$91.63
67904 Repair of tendon of upper eyelid	35	35	$7890.43	$865.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$333.00	$111.11
15823 Removal of excessive skin and fat of upper eyelid	18	18	$5180.88	$745.59
68840 Probing of nasal-tear duct	13	13	$708.46	$156.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	52	$286.85	$126.60
92081 Exam of visual field with limited testing	49	49	$169.17	$33.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$476.00	$163.83
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$189.00	$89.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$323.00	$110.20
15823 Removal of excessive skin and fat of upper eyelid	20	20	$5062.20	$701.68
67904 Repair of tendon of upper eyelid	16	16	$6560.26	$736.70
67917 Extensive repair of turning-outward eyelid defect	11	11	$4222.00	$436.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$476.00	$165.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$290.00	$128.16
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$189.00	$90.47
92081 Exam of visual field with limited testing	26	26	$166.00	$33.43
67904 Repair of tendon of upper eyelid	26	26	$6778.51	$757.35
15823 Removal of excessive skin and fat of upper eyelid	20	20	$4608.45	$695.16
68815 Probing of nasal-tear duct with insertion of tube or stent	14	13	$1081.30	$145.72
67900 Repair of brow paralysis	12	12	$3252.97	$405.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92081 Exam of visual field with limited testing	53	53	$34.04	$33.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	48	$128.81	$128.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$178.59	$162.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	45	43	$23.02	$23.02
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$90.78	$90.78
15823 Removal of excessive skin and fat of upper eyelid	30	30	$727.26	$687.60
67904 Repair of tendon of upper eyelid	26	26	$767.84	$724.34
67900 Repair of brow paralysis	14	14	$453.45	$440.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$111.05	$111.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	59	$74.75	$74.61
92081 Exam of visual field with limited testing	39	39	$34.09	$33.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$108.51	$108.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$106.98	$106.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	26	$24.33	$22.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$162.85	$162.03
15823 Removal of excessive skin and fat of upper eyelid	12	12	$688.92	$684.33
67904 Repair of tendon of upper eyelid	11	11	$734.11	$703.29
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$75.63	$75.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	70	$74.13	$73.91
92081 Exam of visual field with limited testing	55	55	$34.39	$34.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$107.29	$107.04
67904 Repair of tendon of upper eyelid	22	22	$812.91	$810.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$108.56	$108.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$175.92	$162.35
15823 Removal of excessive skin and fat of upper eyelid	21	21	$719.35	$716.93
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	15	14	$652.36	$643.54
68840 Probing of nasal-tear duct	11	11	$137.06	$136.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92081 Exam of visual field with limited testing	40	40	$35.08	$34.44
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$72.96	$71.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$112.32	$103.14
68840 Probing of nasal-tear duct	14	14	$173.43	$142.27

Medical Specialties & State Licenses

CMS Verified: 2020-08-21

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MN 63927

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License CA A142763

Hospital & Practice Group Affiliations

Mayo Clinic

200 1st St Sw, Rochester, MN 559050001

Phone: 5072842511

Secondary Practice Locations

2100 Webster St Ste 212

San Francisco, CA 941152375

Phone: 4153451274

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Emily Leasure , MD

Internal Medicine

NPI 1003005836

Doctor of Medicine (M.D.)

Nathanael Bailey

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1003013814

Nicole Nipper , NP

Nurse Practitioner

NPI 1003016940

Nurse Practitioner

Brandi D'souza , NP

Nurse Practitioner

NPI 1003019696

Nurse Practitioner

Dr. Kim Schutterle , MD

Emergency Medicine

NPI 1003027087

Doctor of Medicine (M.D.)

Dr. Jodi Moore-Weiss , OD

Optometrist

NPI 1003036427

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2020

Ophthalmology (License #63927 in MN)

📍

Updated Practice Location July 26, 2018

Registered at 200 1ST ST SW, ROCHESTER, MN 55905 (Tel: 5072842511)

📍

Updated Business Mailing Address July 26, 2018

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍

Updated Practice Location May 20, 2018

Registered at 2100 WEBSTER ST STE 212, SAN FRANCISCO, CA 94115 (Tel: 4153451274)

📍

Updated Business Mailing Address May 20, 2018

Registered at 2100 WEBSTER ST STE 212, SAN FRANCISCO, CA 941152375 (Tel: 4143451274)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2018

Ophthalmology (License #A142763 in CA)

✅

NPI Profile Active July 02, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 02, 2013

Registered at 1650 SELWYN AVE, 1C, BRONX, NY 104577626 (Tel: 6466598733)

📍

Updated Business Mailing Address July 02, 2013

Registered at 1650 SELWYN AVE, 1C, BRONX, NY 104577626 (Tel: 6466598733)

👤

Provider Name / Credentials Updated July 02, 2013

Recorded as LILLY WAGNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982990057

Entity Type:

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

Enumeration Date: June 27, 2011

Last Update: August 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

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.