What is Michael Wagner's specialty?

Michael Wagner (NPI 1043217797) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Espanola, NM.

Where does Michael Wagner practice?

Michael Wagner practices in Espanola, NM, based on the location reported in the CMS Medicare provider datasets for NPI 1043217797.

How much does Medicare pay Michael Wagner?

Michael Wagner (NPI 1043217797) received approximately $42K in total Medicare Part B payments, serving 342 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1043217797

Michael WagnerMD

Pulmonary DiseaseEspanola, NMI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

732

Unique beneficiaries

—

Total services

960

Distinct HCPCS

Medicare payment

$40K

Peer benchmark

Total Medicare services vs. 35 Pulmonary Disease providers in NM — above median (cohort median 1,002).

PRESCRIBING · PART D · 2024

Total Rx claims

1,499

Beneficiaries

—

Total drug cost

$334K

Distinct drugs

Brand share

35.1%

Top prescribed drugs

Albuterol Sulfate118 claims

Prednisone79 claims

Fluticasone Propionate71 claims

Fluticasone/Umeclidin/Vilanter68 claims

Lisinopril66 claims

QUALITY · MIPS · 2024

Final MIPS score

88.7

Quality

82.3

Cost

76.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.58%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$26

Payment records

By payment type

Food and Beverage$26

Top paying entities

Food and Beverage$26

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 320011

Hospital

CCN 320021

Hospital

CCN 321310

Hospital

REFERRAL NETWORK

Where Michael Wagner's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 11 inbound referrers · 19 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PRESBYTERIAN HEALTHCARE SERVICES	197	2,312
PRESBYTERIAN HEALTHCARE SERVICES	90	406
TRICORE REFERENCE LABORATORIES	51	441
Salvadeeswaran Lakshmi-Narayanan Pulmonary Disease · Espanola, NM	49	394
PHC-LOS ALAMOS INC	31	128
TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL	24	159
TENG, MARGIE	14	95
EL CENTRO FAMILY HEALTH	13	167
Valerie Merl Emergency Medicine · Espanola, NM	12	40
RYAN, WILLIAM	11	68
PRESBYTERIAN HEALTHCARE SERVICES	11	25

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
PRESBYTERIAN HEALTHCARE SERVICES	318	4,505
James Montesinos Diagnostic Radiology · Albuquerque, NM	108	488
PRESBYTERIAN HEALTHCARE SERVICES	100	541
ST VINCENT HOSPITAL	47	269
Salvadeeswaran Lakshmi-Narayanan Pulmonary Disease · Espanola, NM	45	369
TRICORE REFERENCE LABORATORIES	43	327
Randall Sellers Diagnostic Radiology · Albuquerque, NM	38	150
PHC-LOS ALAMOS INC	30	100
TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL	29	183
Angela Bratton Ophthalmology · Los Alamos, NM	19	65
PRESBYTERIAN HEALTHCARE SERVICES	17	77
Virtuox, Llc Independent Diagnostic Testing Facility (IDTF) · Coral Springs, FL	17	55

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history