Medstar Medical Group - Southern Maryland LLC
NPI 1730571118 · Ambulatory Surgical Clinic/Center · Waldorf, MD
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medstar Medical Group - Southern Maryland LLC is a Ambulatory Surgical Clinic/Center organization in Waldorf, MD (NPI 1730571118).
Provider details
- NPI number
- 1730571118
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Wagner, Executive Vice President(410) 772-6595
- License
- A1234 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
5,093 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) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 1,307 | $292 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 989 | $422 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 787 | $515 |
| Injection Beneath Lining of Large Bowel Using a Flexible Endoscope45381 | 395 | $308 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 328 | $440 |
Practice location
Mailing address
Additional practice locations (2)
- 24035 Three Notch RoadHollywood, MD 20636-4871Phone: (301) 373-7900Fax: (301) 373-6900
- 130 Hospital RoadSuite 300Prince Frederick, MD 20678-4015Phone: (410) 535-4333Fax: (410) 535-3260
Registry dates
- Enumerated
- 2015-02-23
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Frequently asked questions
- What is Medstar Medical Group - Southern Maryland LLC's NPI number?
- Medstar Medical Group - Southern Maryland LLC's National Provider Identifier (NPI) is 1730571118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medstar Medical Group - Southern Maryland LLC?
- Medstar Medical Group - Southern Maryland LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Medstar Medical Group - Southern Maryland LLC located?
- Medstar Medical Group - Southern Maryland LLC's practice location on file with NPPES is 10 St. Patrick'S Drive, Waldorf, MD 20603-4527.
- What is Medstar Medical Group - Southern Maryland LLC's phone number?
- The practice phone number listed in the NPPES registry for Medstar Medical Group - Southern Maryland LLC is (301) 373-7900.
- Does Medstar Medical Group - Southern Maryland LLC accept Medicare?
- Medstar Medical Group - Southern Maryland LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medstar Medical Group - Southern Maryland LLC?
- The authorized official listed on Medstar Medical Group - Southern Maryland LLC's NPPES record is Eric Wagner, Executive Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medstar Medical Group - Southern Maryland LLC's NPI active?
- Yes — Medstar Medical Group - Southern Maryland LLC's NPI (1730571118) is active in the NPPES registry as of the last update on 2026-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.