Doctor profile · Federal record
Dr. Keith Wagner, M.D.
Dermatology Physician (CMS: Dermatology) · Appleton, WI
- NPI 1760047112
- Accepts Medicare
- 11 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3935 N Lightning Dr
Appleton, WI 549136717
(920) 968-1790
fax (920) 968-1794 - Additional location
-
2700 Crooks Ave Ste 101
Kaukauna, WI 541303900
(920) 581-5561
fax (920) 785-5511 - Mailing address
-
801 York St
Manitowoc, WI 542204630
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- September 11, 2023
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State license (1)
- Wisconsin #82425-20
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1760047112. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
542
Distinct HCPCS
10
Medicare allowed
$31,748
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 154 | 48 | $6 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 80 | 77 | $84 | |
17000 |
Destruction of precancer skin growth, 1 growth | 79 | 72 | $47 | |
11102 |
Biopsy of related skin growth, first growth | 71 | 70 | $92 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 51 | 51 | $105 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 30 | 29 | $53 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 24 | 21 | $120 | |
11103 |
Biopsy of related skin growth, each additional growth | 19 | 12 | $48 | |
17110 |
Destruction of skin growth, 1-14 growths | 19 | 18 | $105 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 15 | 15 | $68 |
In context: peer comparison
Among 3 peers in Appleton Dermatology Physician, average services per provider: 114. This provider delivers 4.8× the peer median.Open Payments
Industry payments received
All-time total
$432
Transactions
17
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Regeneron Healthcare Solutions, INC. | 9 | $232.81 | |
| Abbvie INC. | 2 | $54.68 | |
| Ucb, INC. | 1 | $42.55 | |
| Janssen Biotech, INC. | 2 | $32.75 | |
| Novartis Pharmaceuticals Corporation | 1 | $26.23 | |
| Amgen INC. | 1 | $22.33 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $20.49 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
340
Patients
244
Total drug cost
$7,462
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Triamcinolone Acetonide | Generic | 105 | 82 | $1,734 |
| Ketoconazole | Generic | 73 | 46 | $1,577 |
| Hydrocortisone | Generic | 60 | 47 | $536 |
| Clobetasol Propionate | Generic | 45 | 27 | $2,259 |
| Mupirocin | Generic | 29 | 21 | $346 |
| Doxycycline Monohydrate | Generic | 28 | 21 | $1,010 |
Frequently asked questions
What is Dr. Keith Wagner's medical specialty?
Dr. Keith Wagner practices Dermatology Physician in Appleton, WI.
Where does Dr. Keith Wagner practice?
Dr. Keith Wagner practices at 3935 N Lightning Dr, Appleton, WI 549136717. Office phone: 9209681790.
What is Dr. Keith Wagner's NPI?
Dr. Keith Wagner's National Provider Identifier (NPI) is 1760047112, issued by NPPES.
Does Dr. Keith Wagner accept Medicare assignment?
Yes. Dr. Keith Wagner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Keith Wagner commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.