Roy Wagner, DO
NPI 1477187383 · Family Medicine Physician · O Fallon, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roy Wagner, DO is a Family Medicine Physician provider in O Fallon, IL (NPI 1477187383).
Provider details
- NPI number
- 1477187383
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 036164627 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
108 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 65 | $78 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 24 | $130 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 19 | $79 |
Typical Medicare-allowed amounts for these services range $78–$130 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-29
- Last updated
- 2023-11-07
- Certified
- 2023-11-07
Frequently asked questions
- What is Roy Wagner's NPI number?
- Roy Wagner's National Provider Identifier (NPI) is 1477187383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roy Wagner's specialty?
- Roy Wagner is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Roy Wagner located?
- Roy Wagner's practice location on file with NPPES is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269.
- What is Roy Wagner's phone number?
- The practice phone number listed in the NPPES registry for Roy Wagner is (618) 233-7880.
- Does Roy Wagner accept Medicare?
- Roy Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roy Wagner's NPI active?
- Yes — Roy Wagner's NPI (1477187383) is active in the NPPES registry as of the last update on 2023-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.