Active NPI 1932448347 Individual Practitioner Male Practitioner

Jerad Scott Wagner , PA-C

Physician Assistant • Ardmore, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jerad Wagner, PA-C is a certified Physician Assistant practicing in Ardmore, OK. With approximately 14 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2012, Jerad Wagner delivers high-quality medical care to the local community at 921 14TH AVE NW.

Jerad Wagner is affiliated with Mercy Clinic Oklahoma Communities and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

921 14th Ave Nw

Ardmore, OK 734011837

Telephone 5802235311

Fax 5802238227

Associated Practice Facility / Clinic

🏢 Medical Arts Clinic Of Ardmore Inc Facility NPI 1457331175

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ardmore, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -1.3 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 14.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Ardmore, OK (1911 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

50.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (14 Years) 14 Yrs

Ardmore Specialty Average (15.3 Years) 15.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	407	236	$183.75	$100.30
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	215	158	$37.00	$13.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$310.32	$101.89
G0008 Administration of influenza virus vaccine	86	85	$41.00	$30.07
90662 Influenza vaccine split virus, preservative free	75	74	$95.00	$81.16
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	19	$103.00	$32.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	32	$257.00	$142.34
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$129.00	$68.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$260.00	$132.04
81003 Automated urinalysis test	16	16	$13.00	$2.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$136.00	$41.81
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$529.00	$292.08
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$48.00	$21.90
G0009 Administration of pneumococcal vaccine	11	11	$41.00	$30.07

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	335	200	$183.93	$102.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	136	136	$311.00	$104.30
G0008 Administration of influenza virus vaccine	52	52	$41.00	$28.68
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$129.00	$72.55
90662 Influenza vaccine split virus, preservative free	41	41	$94.85	$71.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	32	$257.00	$144.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$260.00	$126.81
81003 Automated urinalysis test	12	12	$13.00	$2.20
G0009 Administration of pneumococcal vaccine	12	12	$41.00	$28.68
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$49.00	$21.90
77080 Dxa bone density measurement of hip, pelvis, spine	11	11	$115.82	$29.42

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	379	181	$184.00	$103.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	134	134	$266.34	$106.03
G0008 Administration of influenza virus vaccine	48	47	$41.00	$27.20
99213 Established patient office or other outpatient visit, typically 15 minutes	44	40	$129.00	$72.44
90662 Influenza vaccine split virus, preservative free	41	40	$88.76	$68.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$260.00	$135.52
G0009 Administration of pneumococcal vaccine	25	25	$41.00	$27.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	14	$46.00	$11.45
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$529.00	$278.45

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	424	209	$174.28	$105.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	106	106	$206.00	$108.15
36415 Insertion of needle into vein for collection of blood sample	105	87	$12.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$119.91	$74.32
G0008 Administration of influenza virus vaccine	48	47	$41.00	$15.76
90662 Influenza vaccine split virus, preservative free	35	34	$87.00	$64.40
G0009 Administration of pneumococcal vaccine	30	29	$41.00	$15.78
81003 Automated urinalysis test	24	22	$13.00	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$257.71	$137.31
71046 X-ray of chest, 2 views	20	18	$44.00	$20.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$175.00	$124.03
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$49.00	$20.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	12	$46.00	$11.43
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$51.00	$16.53
90670 Pneumococcal vaccine for injection into muscle	14	14	$333.00	$235.76

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	374	192	$164.47	$88.77
36415 Insertion of needle into vein for collection of blood sample	224	136	$12.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	209	166	$112.00	$61.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$206.00	$93.65
87804 Detection test by immunoassay with direct visual observation for influenza virus	52	26	$51.00	$16.42
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	51	48	$51.00	$16.47
99496 Transitional care management services for problem of high complexity	36	33	$361.83	$197.55
81003 Automated urinalysis test	35	31	$13.00	$2.23
G0008 Administration of influenza virus vaccine	27	27	$40.48	$15.70
71046 X-ray of chest, 2 views	23	22	$44.00	$19.24
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	14	14	$54.00	$45.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$309.00	$140.08
90662 Influenza vaccine split virus, preservative free	13	13	$87.00	$58.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	11	$46.00	$11.58
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$49.00	$19.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$165.50	$88.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$252.33	$135.31

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	386	194	$162.65	$88.50
36415 Insertion of needle into vein for collection of blood sample	225	128	$12.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	156	144	$110.83	$60.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	18	$5.00	$1.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg	80	17	$5.00	$0.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$206.00	$94.36
87804 Detection test by immunoassay with direct visual observation for influenza virus	54	27	$51.00	$16.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$248.49	$134.60
81003 Automated urinalysis test	34	33	$13.00	$2.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	34	34	$309.00	$140.00
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	31	$51.00	$16.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	22	$46.00	$13.38
G0008 Administration of influenza virus vaccine	29	28	$39.00	$15.46
99496 Transitional care management services for problem of high complexity	22	20	$358.00	$187.96
90662 Influenza vaccine split virus, preservative free	17	16	$86.41	$54.74
G0009 Administration of pneumococcal vaccine	16	15	$39.00	$15.46
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$108.00	$31.73
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$49.00	$18.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$161.77	$88.09
71046 X-ray of chest, 2 views	12	12	$44.00	$18.61
77080 Dxa bone density measurement of hip, pelvis, spine	11	11	$124.00	$30.66

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	347	215	$161.00	$86.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	212	51	$5.00	$1.79
99213 Established patient office or other outpatient visit, typically 15 minutes	209	179	$109.00	$58.62
J1100 Injection, dexamethasone sodium phosphate, 1 mg	172	41	$5.00	$0.11
36415 Insertion of needle into vein for collection of blood sample	168	128	$12.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	59	$46.00	$16.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$248.00	$133.45
87804 Detection test by immunoassay with direct visual observation for influenza virus	52	25	$51.00	$16.22
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$3.00	$0.60
81003 Automated urinalysis test	39	36	$13.00	$2.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$206.00	$93.53
71046 X-ray of chest, 2 views	27	25	$44.00	$17.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$309.00	$138.37
G0008 Administration of influenza virus vaccine	23	23	$39.00	$18.90
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	17	$51.00	$16.20
90662 Influenza vaccine split virus, preservative free	18	18	$75.33	$51.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$161.00	$87.47
G0009 Administration of pneumococcal vaccine	15	15	$39.00	$18.90
99496 Transitional care management services for problem of high complexity	12	12	$358.00	$186.65

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	386	266	$161.00	$85.84
99213 Established patient office or other outpatient visit, typically 15 minutes	283	239	$109.00	$58.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	276	64	$5.00	$1.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg	264	63	$5.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	162	131	$12.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	68	$45.43	$19.74
81003 Automated urinalysis test	52	47	$13.00	$3.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$248.00	$131.99
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	18	$51.00	$16.11
71020 X-ray of chest, 2 views, front and side	37	34	$72.14	$19.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$161.00	$86.14
99496 Transitional care management services for problem of high complexity	21	20	$358.00	$183.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$309.00	$136.27
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$133.31	$35.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$206.00	$91.83

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 2197

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Physician Assistant License

2197 (OK)

Hospital & Practice Group Affiliations

Mercy Clinic Oklahoma Communities

4300 Mcauley Blvd, Oklahoma City, OK 731208302

Phone: 4059365455

Mercy Clinic Oklahoma Communities

1020 N Commerce St, Ardmore, OK 734013920

Phone: 5802235311

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Toribio Velasquez , MD

Internal Medicine

NPI 1194779975

Doctor of Medicine (M.D.)

Dr. Wilfred Gauthier , MD, FACS

Surgery

NPI 1235176629

Doctor of Medicine (M.D.), FACS

Dr. Brooks Zimmerman , DO

Family Medicine

NPI 1306845367

Doctor of Osteopathic Medicine (D.O.)

Sallie Walker , MS, RN, ARNP

Nurse Practitioner - Family

NPI 1306889878

Master of Science, Registered Nurse, Advanced Registered Nurse Practitioner

S Dawnita Sampson , APRN-CNP

Nurse Practitioner - Family

NPI 1366938391

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Summer Kirby , MD

Family Medicine

NPI 1376703595

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 January 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2016

Registered at 921 14TH AVE NW, ARDMORE, OK 734011837 (Tel: 5802235311)

📍

Updated Business Mailing Address January 27, 2016

Registered at 921 14TH AVE NW, ARDMORE, OK 734011837 (Tel: 5802235311)

👤

Provider Name / Credentials Updated January 27, 2016

Recorded as JERAD WAGNER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2016

Physician Assistant (License #2197 in OK)

🟢

Initial NPI Registration & Enumeration February 05, 2013

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: 1932448347

Entity Type:

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

Enumeration Date: February 05, 2013

Last Update: January 27, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

921 14th Ave Nw

Ardmore, OK 734011837

Phone: 5802235311

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.