Matthew Wagner, MD
NPI 1114198751 · Pediatric Orthopaedic Surgery Physician · Port Jefferson Station, NY
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Wagner, MD is a Pediatric Orthopaedic Surgery Physician provider in Port Jefferson Station, NY (NPI 1114198751).
Provider details
- NPI number
- 1114198751
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME103612 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
18 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$216 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 500 Commack Rd Unit 150Commack, NY 11725-5009Phone: (631) 371-8034Fax: (631) 828-7899
Registry dates
- Enumerated
- 2008-03-21
- Last updated
- 2019-11-05
Frequently asked questions
- What is Matthew Wagner's NPI number?
- Matthew Wagner's National Provider Identifier (NPI) is 1114198751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Wagner's specialty?
- Matthew Wagner is listed in the NPPES registry with a primary specialty of Pediatric Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Wagner located?
- Matthew Wagner's practice location on file with NPPES is 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055.
- What is Matthew Wagner's phone number?
- The practice phone number listed in the NPPES registry for Matthew Wagner is (631) 371-8034.
- Does Matthew Wagner accept Medicare?
- Matthew Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Wagner's NPI active?
- Yes — Matthew Wagner's NPI (1114198751) is active in the NPPES registry as of the last update on 2019-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.