Doctor profile · Federal record
Dr. Russell Wagner, MD
Orthopaedic Surgery Physician · Adult Reconstructive Orthopaedic Surgery Physician · Fort Worth, TX
- NPI 1154365013
- MIPS 84.0 / 100 · 2023
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1500 S Main St
Fort Worth, TX 761044917
(817) 702-7144 - Additional location
-
855 Montgomery St
Fort Worth, TX 761072553
(817) 735-2900
fax (817) 735-2902 - Mailing address
-
Po Box 99335
Fort Worth, TX 761990335
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- December 18, 2023
- Specialty taxonomy
- 207X00000X — NUCC code
- State license (1)
- Texas #H4772
- Medicaid
- TX #123495705
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154365013. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
33
Distinct HCPCS
2
Medicare allowed
$2,705
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 17 | 15 | $97 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 16 | 15 | $66 |
In context: peer comparison
Among 12 peers in Fort Worth Orthopaedic Surgery Physician, average services per provider: 100. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Davol INC. | 1 | $24.53 |
By nature of payment
Frequently asked questions
What is Dr. Russell Wagner's medical specialty?
Dr. Russell Wagner practices Orthopaedic Surgery Physician in Fort Worth, TX.
Where does Dr. Russell Wagner practice?
Dr. Russell Wagner practices at 1500 S Main St, Fort Worth, TX 761044917. Office phone: 8177027144.
What is Dr. Russell Wagner's NPI?
Dr. Russell Wagner's National Provider Identifier (NPI) is 1154365013, issued by NPPES.
What procedures does Dr. Russell Wagner commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.