BRENT WAGNER M.D.
NPI 1366885501
Internal Medicine in Palm Desert, CA

NPI Status: Active since April 08, 2013

Contact Information

72605 HIGHWAY 111
PALM DESERT, CA
ZIP 92260
Phone: (760) 404-0135
Fax: (760) 537-2948

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  • Individual
  • Male
  • Internal Medicine
  • PECOS Enrolled
  • Medicare Quality Reporting

About BRENT WAGNER

This page provides the complete NPI Profile along with additional information for Brent Wagner, an internist established in Palm Desert, California with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1366885501 assigned on April 2013. The practitioner's primary taxonomy code is 207R00000X with license number 143208 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1366885501
Provider Name
BRENT WAGNER M.D.
Gender
Male
Entity Type
Individual
Location Address
72605 HIGHWAY 111 PALM DESERT, CA 92260
Location Phone
(760) 404-0135
Location Fax
(760) 537-2948
Mailing Address
72605 HIGHWAY 111 PALM DESERT, CA 92260
Mailing Phone
(760) 404-0135
Mailing Fax
(760) 537-2948
Is Sole Proprietor?
No
Enumeration Date
04-08-2013
Last Update Date
04-16-2020
Code Navigator

An internist like Brent Wagner is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 13001 E 17th Pl
    Aurora, CO 80045
    (303) 724-1788

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
143208
License State
CA
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Medicare Participation & PECOS Enrollment Status

Brent Wagner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92260 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $136.04
  • Minimum New Patient Price $59.6
  • Maximum New Patient Price $179.42
  • Average New Patient Copayment $34.01
  • Minimum New Patient Copayment $14.9
  • Maximum New Patient Copayment $44.85

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $104.64
  • Minimum Established Patient Price $19.37
  • Maximum Established Patient Price $146.42
  • Average Established Patient Copayment $26.16
  • Minimum Established Patient Copayment $4.84
  • Maximum Established Patient Copayment $36.6

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Advance Care PlanningYesN/A
Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366885501
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261681050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 8 + 1 + 0 + 5 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1366885501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154757698DESERT MEDICAL GROUP, INC
Organization
Clinic/Center (Urgent Care)72605 HIGHWAY 111
PALM DESERT, CA 92260
(760) 323-8657
1710388400DESERT OAISIS HEALTHCARE
Organization
Clinic/Center (Urgent Care)72605 HIGHWAY 111
PALM DESERT, CA 92260
(760) 404-0135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366885501, enumerated in the NPI registry as an "individual" on April 08, 2013

The provider is located at 72605 Highway 111 Palm Desert, Ca 92260 and the phone number is (760) 404-0135

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $136.04 with an average copayment of $34.01 for new patient appointments. Established patients should expect a typical charge of $104.64 and an average copayment of 26.16. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on April 08, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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