Dr Matthew Robert Wagner, MD - Medicare Orthopaedic Surgery in Port Jefferson Station, NY

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Dr Matthew Robert Wagner, MD is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Port Jefferson Station, New York. His current practice location is 1500 Route 112 Bldg 2c, Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at (631) 371-8034.

Dr Matthew Robert Wagner is licensed to practice in New York (license number 251727) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114198751.

Contact Information

Dr Matthew Robert Wagner, MD
1500 Route 112 Bldg 2c,
Port Jefferson Station, NY 11776-8055
(631) 371-8034
(631) 828-7899

Map and Direction




Physician's Profile

Full NameDr Matthew Robert Wagner
GenderMale
SpecialityOrthopaedic Surgery - Pediatric Orthopaedic Surgery
Location1500 Route 112 Bldg 2c, Port Jefferson Station, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114198751
  • Provider Enumeration Date: 03/21/2008
  • Last Update Date: 11/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2860630498
  • Enrollment ID: I20130521000407

Medical Identifiers

Medical identifiers for Dr Matthew Robert Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114198751NPI-NPPES
120130521000407OtherNYMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery ME103612 (Florida)Secondary
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery 251727 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Matthew Robert Wagner allows following entities to bill medicare on his behalf.
Entity NameOrthopedic Associates Of Long Island, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194823914
PECOS PAC ID: 4880592419
Enrollment ID: O20031222000067
Entity NameChs Physician Partners Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164585725
PECOS PAC ID: 7618955667
Enrollment ID: O20040708000027
Entity NameSt Charles Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497765630
PECOS PAC ID: 6103733050
Enrollment ID: O20050205000015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew Robert Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Matthew Robert Wagner, MD
1500 Route 112 Bldg 2c,
Port Jefferson Station, NY 11776-8055

Ph: (631) 371-8034		Dr Matthew Robert Wagner, MD
1500 Route 112 Bldg 2c,
Port Jefferson Station, NY 11776-8055

Ph: (631) 371-8034

Reviews and Comments


Orthopaedic Surgery Doctors in Port Jefferson Station, NY

Andrew J Dowd, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5360 Nesconset Hwy, Suite A, Port Jefferson Station, NY 11776
Phone: 631-331-3777    Fax: 631-331-1680

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.