Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700804309 Individual Practitioner Male Practitioner

Kenneth W Wagner , PA-C

Physician Assistant • Houston, TX

Professional Overview & Biography Verified Profile Summary

Kenneth Wagner, PA-C is a registered healthcare professional specializing in Physician Assistant in Houston, TX. Practice services are available at 17115 RED OAK DR under active NPI credentials.

Frequently performed procedures and clinical services include partial removal of spine bone with release of spinal cord and/or nerves, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17115 Red Oak Dr
Suite 211

Houston, TX 770902641

Telephone 2817199681
Fax 2817910059
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
1817 Specialists

Practicing in Houston, TX (11140 Statewide)

Telehealth Adoption Rate
17.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
94.0% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves
32 19 $557.88 $28.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
30 30 $1967.49 $169.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
23 18 $719.66 $61.01
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
20 20 $2890.98 $116.21
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
19 14 $688.15 $34.57

Medical Specialties & State Licenses

CMS Verified: 2021-04-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA00865

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License TX PA00865

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
198928701 (TX)
Commercial Insurance / Payer ID Bcbstx
8Y8598 (TX)
Commercial Insurance / Payer ID Bcbs
87N250 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Derek Kroll , DO

Neurological Surgery

NPI 1326486283

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 March 28, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address March 28, 2017

Registered at 17070 RED OAK DR, STE 507, HOUSTON, TX 770902617 (Tel: 2817199681)

📍
Updated Practice Location March 28, 2017

Registered at 17115 RED OAK DR, SUITE 211, HOUSTON, TX 770902641 (Tel: 2817199681)

👤
Provider Name / Credentials Updated March 28, 2017

Recorded as KENNETH WAGNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Physician Assistant (License #PA00865 in TX)

NPI Profile Active October 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2014

Registered at 17115 RED OAK DR, SUITE 211, HOUSTON, TX 770902641 (Tel: 2817199681)

📍
Updated Business Mailing Address October 31, 2014

Registered at 1544 SAWDUST RD, SUITE 180, SPRING, TX 773802929 (Tel: 2812927411)

👤
Provider Name / Credentials Updated October 31, 2014

Recorded as KENNETH WAGNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2014

Physician Assistant (License #PA00865 in TX)

🟢
Initial NPI Registration & Enumeration July 18, 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: 1700804309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: April 29, 2021
Sole Proprietor: No

Mailing Address

17070 Red Oak Dr, Ste 507

Houston, TX 770902617

Phone: 2817199681

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.