Doctor profile · Federal record
Dr. Dustin Wagner, PA
Surgical Physician Assistant (CMS: Physician Assistant) · Oklahoma City, OK
- NPI 1093453565
- Accepts Medicare
- MIPS 77.7 / 100 · 2023
- 4 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5401 N Portland Ave Ste 600
Oklahoma City, OK 731122090
(405) 713-9940
fax (405) 713-9941 - Mailing address
-
3001 Quail Springs Pkwy Fl 5
Oklahoma City, OK 731342640
Credentials & registration
- NPI registered
- May 2022 — 4 yrs on file
- Profile last updated
- January 12, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Oklahoma #4800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093453565. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
240
Distinct HCPCS
7
Medicare allowed
$13,732
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 72 | 12 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 59 | 48 | $70 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 36 | 34 | $44 | |
27245 |
Treatment of broken neck of thigh bone with bone implant | 22 | 22 | $155 | |
27236 |
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 21 | 21 | $151 | |
20610 |
Aspiration and/or injection of fluid from large joint | 15 | 13 | $49 | |
G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 15 | 15 | $41 |
In context: peer comparison
Among 7 peers in Oklahoma City Surgical Physician Assistant, average services per provider: 178. This provider delivers 1.3× the peer median.Open Payments
Industry payments received
All-time total
$559
Transactions
11
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, INC. | 3 | $188.12 | |
| Nalu Medical, INC. | 1 | $149.25 | |
| Stryker Corporation | 3 | $136.14 | |
| ConvaTec INC. | 1 | $25.54 | |
| Vertex Pharmaceuticals Incorporated | 1 | $24.23 | |
| Bioventus LLC | 1 | $18.66 | |
| Molnlycke Health Care US, LLC | 1 | $16.62 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
32
Patients
0
Total drug cost
$316
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tizanidine Hcl | Generic | 21 | 0 | $200 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 11 | 0 | $116 |
Hospital affiliations
Frequently asked questions
What is Dr. Dustin Wagner's medical specialty?
Dr. Dustin Wagner practices Surgical Physician Assistant in Oklahoma City, OK.
Where does Dr. Dustin Wagner practice?
Dr. Dustin Wagner practices at 5401 N Portland Ave Ste 600, Oklahoma City, OK 731122090. Office phone: 4057139940.
What is Dr. Dustin Wagner's NPI?
Dr. Dustin Wagner's National Provider Identifier (NPI) is 1093453565, issued by NPPES.
Does Dr. Dustin Wagner accept Medicare assignment?
Yes. Dr. Dustin Wagner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dustin Wagner commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.