MR. WILLIS H. WAGNER M.D. NPI 1003836248

NPI Details

MR. Willis H. Wagner, M.D. is a vascular surgery surgery in Los Angeles, CA with 44 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MR. Willis H. Wagner, M.D. NPI is 1003836248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8631 W 3RD ST
SUITE 615E
LOS ANGELES, CA
ZIP 90048-901
Phone: (310) 652-8132
Fax: (310) 659-3815

The NPI 1003836248 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• Ultrasound study of arm and leg arteries (HCPCS:93922)
• Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
• Ultrasound of leg arteries or artery grafts (HCPCS:93925)
• Complete ultrasound study of arm and leg arteries (HCPCS:93923)
• Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
• Ultrasound of hemodialysis access (HCPCS:93990)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Ultrasound scan of abdominal aorta (HCPCS:76706)
• Ultrasound of one arm arteries or artery grafts (HCPCS:93931)
• Spinal fusion (HCPCS:NAN02)
• Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/20/2006 and was last updated on 10/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.