Active NPI 1255443412 Individual Practitioner Male Practitioner

Dr. Stephen P Wagner , MD

Ophthalmology • Monroe, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Wagner, MD is a certified Ophthalmology practicing in Monroe, WI. With approximately 28 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1998, Dr. Wagner delivers high-quality medical care to the local community at 515 22ND AVE.

Dr. Wagner is affiliated with The Monroe Clinic, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, injection of drug into eye, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 22nd Ave

Monroe, WI 535661569

Telephone 6083242000

Fax 2627637002

Associated Practice Facility / Clinic

🏢 The Monroe Clinic, Inc. Facility NPI 1740291491

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Monroe, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Monroe, WI (464 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (28 Years) 28 Yrs

Monroe Specialty Average (23.0 Years) 23.0 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
92134 Imaging of retina	561	204	$142.00	$23.30
67028 Injection of drug into eye	411	80	$1212.92	$95.96
92014 Established patient complete exam of visual system	391	355	$269.00	$71.08
99213 Established patient office or other outpatient visit, typically 15 minutes	379	248	$202.00	$61.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	202	$287.00	$90.29
92083 Exam of visual field with extended testing	242	204	$223.00	$25.28
67028 Injection of drug into eye	237	41	$1176.62	$96.72
92134 Imaging of retina	232	68	$142.41	$23.20
92133 Imaging of optic nerve	185	179	$139.00	$20.11
66984 Removal of cataract with insertion of lens	170	59	$3201.32	$258.20
99213 Established patient office or other outpatient visit, typically 15 minutes	97	53	$202.00	$63.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$390.00	$123.09
92136 Measurement of corneal curvature and depth of eye	67	66	$413.73	$44.47
92014 Established patient complete exam of visual system	59	50	$278.05	$72.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	48	$290.88	$92.51
92004 New patient complete exam of visual system	37	37	$344.00	$88.40
92083 Exam of visual field with extended testing	24	21	$229.17	$24.83
66821 Removal of recurring cataract in lens capsule using a laser	20	17	$1808.00	$290.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$227.00	$75.53
92133 Imaging of optic nerve	15	15	$139.00	$20.10
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$113.00	$19.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$408.00	$131.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	471	178	$142.00	$24.11
67028 Injection of drug into eye	415	78	$1182.82	$97.22
99213 Established patient office or other outpatient visit, typically 15 minutes	367	234	$156.49	$62.95
92014 Established patient complete exam of visual system	355	329	$233.00	$73.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	219	$258.28	$93.15
92083 Exam of visual field with extended testing	223	196	$223.00	$26.11
92134 Imaging of retina	196	74	$142.48	$24.01
92133 Imaging of optic nerve	177	173	$139.00	$20.78
67028 Injection of drug into eye	177	38	$1203.19	$100.57
66984 Removal of cataract with insertion of lens	129	58	$3999.06	$346.35
99213 Established patient office or other outpatient visit, typically 15 minutes	97	64	$163.81	$65.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	63	$262.06	$97.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$431.70	$126.56
92014 Established patient complete exam of visual system	70	62	$235.21	$73.33
92136 Measurement of corneal curvature and depth of eye	54	54	$459.56	$51.21
92083 Exam of visual field with extended testing	37	31	$235.00	$27.02
92133 Imaging of optic nerve	28	27	$145.57	$21.50
92004 New patient complete exam of visual system	24	24	$299.00	$91.57
66821 Removal of recurring cataract in lens capsule using a laser	23	20	$1808.00	$296.92
92020 Examination of cornea and iris using lens device and slit lamp	23	22	$75.00	$19.78
76514 Ultrasound scan of cornea to determine thickness	18	18	$113.00	$7.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$227.00	$78.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$420.50	$132.67
92136 Measurement of corneal curvature and depth of eye	11	11	$360.00	$39.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	354	138	$142.00	$24.58
92014 Established patient complete exam of visual system	343	325	$219.00	$74.61
99213 Established patient office or other outpatient visit, typically 15 minutes	325	216	$96.00	$64.16
67028 Injection of drug into eye	276	58	$1185.47	$95.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	189	$202.55	$94.78
67028 Injection of drug into eye	241	35	$1172.78	$97.96
92134 Imaging of retina	235	70	$142.40	$24.54
92083 Exam of visual field with extended testing	201	169	$223.00	$26.29
92133 Imaging of optic nerve	158	157	$139.00	$21.20
99213 Established patient office or other outpatient visit, typically 15 minutes	113	71	$98.42	$65.99
92014 Established patient complete exam of visual system	105	93	$219.00	$75.35
66984 Removal of cataract with insertion of lens	83	51	$5733.46	$511.48
92136 Measurement of corneal curvature and depth of eye	58	56	$336.83	$37.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	47	$204.36	$96.38
92083 Exam of visual field with extended testing	51	43	$231.71	$26.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$451.00	$128.97
92133 Imaging of optic nerve	33	32	$139.00	$20.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	23	$34.00	$34.11
66821 Removal of recurring cataract in lens capsule using a laser	32	26	$1756.75	$288.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$217.00	$79.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$451.00	$135.46
92004 New patient complete exam of visual system	16	16	$299.00	$93.05
92136 Measurement of corneal curvature and depth of eye	13	12	$284.31	$31.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	420	385	$219.00	$75.64
92134 Imaging of retina	367	131	$142.00	$24.89
99213 Established patient office or other outpatient visit, typically 15 minutes	359	216	$96.00	$65.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	182	$202.00	$96.24
67028 Injection of drug into eye	263	52	$1303.05	$98.77
92134 Imaging of retina	263	88	$142.00	$24.93
67028 Injection of drug into eye	241	50	$1388.26	$104.70
92083 Exam of visual field with extended testing	207	180	$223.00	$26.64
92133 Imaging of optic nerve	182	176	$139.00	$21.48
99213 Established patient office or other outpatient visit, typically 15 minutes	147	88	$96.93	$67.31
92014 Established patient complete exam of visual system	140	125	$219.00	$76.39
66984 Removal of cataract with insertion of lens	109	66	$6173.50	$509.92
92136 Measurement of corneal curvature and depth of eye	86	55	$264.00	$30.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	66	$202.00	$98.17
92083 Exam of visual field with extended testing	54	45	$223.00	$26.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$451.00	$128.92
92133 Imaging of optic nerve	39	38	$139.00	$21.56
92136 Measurement of corneal curvature and depth of eye	33	19	$264.00	$30.03
92004 New patient complete exam of visual system	28	28	$299.00	$94.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$34.00	$34.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$451.00	$136.71
66821 Removal of recurring cataract in lens capsule using a laser	25	23	$1644.00	$300.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$192.00	$80.15
76514 Ultrasound scan of cornea to determine thickness	13	13	$91.00	$7.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	525	488	$209.00	$78.50
92134 Imaging of retina	378	147	$136.00	$25.48
67028 Injection of drug into eye	322	71	$1228.60	$106.80
67028 Injection of drug into eye	253	46	$1269.41	$110.62
92134 Imaging of retina	251	70	$136.00	$25.49
92012 Established patient problem focused exam of visual system	245	183	$161.00	$51.86
99213 Established patient office or other outpatient visit, typically 15 minutes	184	141	$92.00	$49.93
92083 Exam of visual field with extended testing	182	157	$212.00	$27.68
92014 Established patient complete exam of visual system	179	161	$209.00	$78.96
92133 Imaging of optic nerve	139	138	$132.00	$22.31
99213 Established patient office or other outpatient visit, typically 15 minutes	80	58	$98.50	$53.17
66984 Removal of cataract with insertion of lens	78	49	$7375.79	$533.30
92136 Measurement of corneal curvature and depth of eye	74	42	$251.00	$31.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	69	$191.91	$77.30
92012 Established patient problem focused exam of visual system	58	47	$166.53	$53.56
92083 Exam of visual field with extended testing	52	42	$212.00	$27.69
92133 Imaging of optic nerve	37	36	$132.00	$22.38
92004 New patient complete exam of visual system	37	37	$284.00	$98.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$193.00	$79.78
66821 Removal of recurring cataract in lens capsule using a laser	24	22	$1522.00	$305.63
92136 Measurement of corneal curvature and depth of eye	20	13	$251.00	$31.00
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	18	11	$2280.00	$231.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$430.00	$126.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	486	454	$166.43	$77.41
92012 Established patient problem focused exam of visual system	232	175	$128.07	$51.16
92014 Established patient complete exam of visual system	189	175	$166.40	$78.29
67028 Injection of drug into eye	188	39	$1089.14	$101.34
92134 Imaging of retina	185	69	$135.60	$25.25
92134 Imaging of retina	171	102	$135.60	$25.30
92083 Exam of visual field with extended testing	135	125	$155.67	$27.44
99213 Established patient office or other outpatient visit, typically 15 minutes	119	91	$93.45	$48.79
92133 Imaging of optic nerve	115	112	$131.74	$21.75
66984 Removal of cataract with insertion of lens	110	66	$7395.74	$616.06
67028 Injection of drug into eye	100	36	$1148.66	$102.24
92012 Established patient problem focused exam of visual system	98	76	$128.08	$51.74
92136 Measurement of corneal curvature and depth of eye	82	46	$158.10	$30.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	66	$192.84	$75.66
99213 Established patient office or other outpatient visit, typically 15 minutes	69	54	$92.54	$49.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	48	$192.24	$77.99
92083 Exam of visual field with extended testing	47	44	$156.09	$26.88
92136 Measurement of corneal curvature and depth of eye	43	24	$151.38	$30.72
92133 Imaging of optic nerve	42	40	$131.08	$21.88
92004 New patient complete exam of visual system	42	42	$227.14	$96.94
92004 New patient complete exam of visual system	30	30	$226.86	$97.94
66821 Removal of recurring cataract in lens capsule using a laser	29	26	$1574.72	$305.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$318.11	$128.22
66982 Complex removal of cataract with insertion of prosthetic lens	16	12	$8880.00	$766.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$318.18	$123.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	200	195	$158.66	$93.85
92014 Established patient complete exam of visual system	152	149	$159.70	$77.53
99213 Established patient office or other outpatient visit, typically 15 minutes	94	81	$93.62	$60.03
92134 Imaging of retina	92	55	$123.08	$27.72
67028 Injection of drug into eye	89	27	$926.26	$98.15
92012 Established patient problem focused exam of visual system	80	66	$122.00	$51.38
99213 Established patient office or other outpatient visit, typically 15 minutes	68	56	$88.00	$49.12
92004 New patient complete exam of visual system	67	67	$218.00	$97.05
92012 Established patient problem focused exam of visual system	67	59	$119.91	$62.03
66984 Removal of cataract with insertion of lens	63	42	$6744.19	$608.28
92136 Measurement of corneal curvature and depth of eye	59	36	$114.00	$30.80
92134 Imaging of retina	45	35	$134.00	$25.56
92083 Exam of visual field with extended testing	42	40	$141.00	$27.35
92004 New patient complete exam of visual system	39	39	$213.51	$106.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$186.00	$75.38
92133 Imaging of optic nerve	35	33	$104.00	$22.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$182.30	$78.84
92133 Imaging of optic nerve	29	29	$94.10	$25.68
92083 Exam of visual field with extended testing	27	27	$130.11	$36.44
92136 Measurement of corneal curvature and depth of eye	25	15	$112.44	$32.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$339.00	$123.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$32.00	$24.28
76514 Ultrasound scan of cornea to determine thickness	14	14	$77.00	$9.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$43.79	$31.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	439	384	$157.68	$114.84
92012 Established patient problem focused exam of visual system	245	178	$114.56	$79.72
99213 Established patient office or other outpatient visit, typically 15 minutes	161	124	$99.79	$67.37
92134 Imaging of retina	111	52	$67.72	$37.75
67028 Injection of drug into eye	96	17	$296.69	$95.48
92083 Exam of visual field with extended testing	84	73	$98.67	$59.41
92004 New patient complete exam of visual system	69	69	$192.71	$139.36
92136 Measurement of corneal curvature and depth of eye	66	48	$110.17	$63.18
J9035 Injection, bevacizumab, 10 mg	59	11	$101.83	$73.40
66984 Removal of cataract with insertion of lens	55	37	$1648.25	$558.94
92133 Imaging of optic nerve	43	40	$65.09	$34.77
66821 Removal of recurring cataract in lens capsule using a laser	31	28	$605.97	$305.25
92250 Photography of the retina	24	24	$85.42	$58.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$65.00	$40.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$148.80	$88.79
66982 Complex removal of cataract with insertion of prosthetic lens	15	11	$1951.60	$737.56
92002 New patient problem focused exam of visual system	12	12	$111.83	$75.79

Medical Specialties & State Licenses

CMS Verified: 2025-05-02

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 41625

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 IL 036145288

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License WI 41625020

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

34215000 (WI)

Commercial Insurance / Payer ID New York

OI023258048 (NY)

Hospital & Practice Group Affiliations

The Monroe Clinic, Inc.

515 22nd Ave, Monroe, WI 535661569

Phone: 6083242000

The Monroe Clinic, Inc.

1110 S Park Blvd, Freeport, IL 610324659

Phone: 8152321105

Secondary Practice Locations

1301 Kiwanis Dr

Freeport, IL 610326907

Phone: 6083242000

1110 S Park Blvd

Freeport, IL 610324659

Phone: 6083242000

Practice Associates & Co-Workers

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

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Nurse Practitioner

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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) May 02, 2025

Ophthalmology (License #036145288 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2020

Ophthalmology (License #41625020 in WI)

📍

Updated Practice Location April 30, 2018

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242000)

📍

Updated Business Mailing Address April 30, 2018

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242000)

👤

Provider Name / Credentials Updated April 30, 2018

Recorded as STEPHEN WAGNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2018

Ophthalmology (License #41625 in WI)

✅

NPI Profile Active June 25, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2010

Registered at 308 MCHENRY ST, BURLINGTON, WI 53105 (Tel: 2627637613)

📍

Updated Business Mailing Address June 25, 2010

Registered at 308 MCHENRY ST, BURLINGTON, WI 53105 (Tel: 2627637613)

👤

Provider Name / Credentials Updated June 25, 2010

Recorded as STEPHEN WAGNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2010

Ophthalmology (License #41625020 in WI)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255443412

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: May 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

515 22nd Ave

Monroe, WI 535661569

Phone: 6083242000

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.