Keith Wagner, M.D.
NPI 1760047112 · Dermatology Physician · Appleton, WI
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Wagner, M.D. is a Dermatology Physician provider in Appleton, WI (NPI 1760047112).
Provider details
- NPI number
- 1760047112
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 82425-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,730 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 538 | $6 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 315 | $85 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 190 | $49 |
| Biopsy of Related Skin Growth, First Growth11102 | 143 | $86 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 95 | $104 |
| Therapy Procedure Using Ultraviolet Radiation With Tar Or Petroleum Jelly Application96910 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 287 | 160 |
| Triamcinolone Acetonide | 276 | 195 |
| Hydrocortisone | 141 | 112 |
| Clobetasol Propionate | 128 | 72 |
| Doxycycline Monohydrate | 65 | 49 |
| Mupirocin | 49 | 32 |
| Dupilumabbrand: Dupixent Pen | 43 | — |
| Fluorouracil |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$432 across 17 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)
- 2700 Crooks Ave Ste 101Kaukauna, WI 54130-3900Phone: (920) 581-5561Fax: (920) 785-5511
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2023-09-11
- Certified
- 2023-09-11
Frequently asked questions
- What is Keith Wagner's NPI number?
- Keith Wagner's National Provider Identifier (NPI) is 1760047112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Wagner's specialty?
- Keith Wagner is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Keith Wagner located?
- Keith Wagner's practice location on file with NPPES is 3935 N Lightning Dr, Appleton, WI 54913-6717.
- What is Keith Wagner's phone number?
- The practice phone number listed in the NPPES registry for Keith Wagner is (920) 968-1790.
- Does Keith Wagner accept Medicare?
- Keith Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Wagner's NPI active?
- Yes — Keith Wagner's NPI (1760047112) is active in the NPPES registry as of the last update on 2023-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.