Medicare Enrolled

Dr. Fred Wagshul, MD

Pulmonary Disease · Dayton, OH
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
8371 YANKEE ST, Dayton, OH 45458
9378595864
In practice since 2005 (20 years)
NPI: 1336137595 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Wagshul from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Wagshul

Dr. Fred Wagshul is a pulmonary disease specialist in Dayton, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Wagshul performed 2,579 Medicare services across 1,310 unique beneficiaries.

Between the years covered by Open Payments, Dr. Wagshul received a total of $5,392 from 30 pharmaceutical and/or device companies across 342 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Wagshul is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 4% volume in OH $5,392 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,579
Medicare services
Top 4% in OH for pulmonary disease
1,310
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~129 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
723 $86 $217
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
349 $47 $107
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
280 $42 $154
Ceftriaxone antibiotic injection
This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered.
189 $0 $20
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
165 $10 $24
Lung volume test using sensors
A test that measures the amount of air in the lungs using sensors.
127 $35 $90
Pulmonary gas exchange test
A test to examine how well the lungs exchange gases.
125 $37 $95
Complex chronic care management, first 60 minutes
This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort.
114 $98 $224
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
97 $8 $20
Expiratory airflow and volume test
A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume.
95 $17 $44
Dexamethasone injection (steroid)
An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram.
95 $0 $13
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
77 $105 $284
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
66 $35 $80
Spirometry test before and after medication
A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication.
34 $25 $64
Assessment of emotional or behavioral problems
An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns.
24 $3 $8
Exercise-induced lung stress test
A test performed to evaluate how the lungs function during physical exertion. It helps identify breathing difficulties or lung conditions that occur specifically when exercising.
19 $23 $81
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,392
Total received (2018-2024)
Avg $770/year across 7 years
Top 27% in OH for pulmonary disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
342
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,339 (99.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$53 (1.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$752
2023
$724
2022
$331
2021
$714
2020
$691
2019
$894
2018
$1,286

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Grifols USA, LLC
$200
Mylan Specialty L.P.
$178
Novo Nordisk Inc
$90
AstraZeneca Pharmaceuticals LP
$59
Takeda Pharmaceuticals U.S.A., Inc.
$53
GlaxoSmithKline, LLC.
$52
GENZYME CORPORATION
$51
ABBVIE INC.
$20
Baxter Healthcare
$17
Insmed, Inc.
$16
PFIZER INC.
$15
Top 3 companies account for 62.4% of 2024 payments
All-time payments by company (2018-2024) ›
Grifols USA, LLC
$1,593
AstraZeneca Pharmaceuticals LP
$984
GlaxoSmithKline, LLC.
$707
Takeda Pharmaceuticals U.S.A., Inc.
$382
Mylan Specialty L.P.
$352
Sunovion Pharmaceuticals Inc.
$346
Boehringer Ingelheim Pharmaceuticals, Inc.
$256
Novo Nordisk Inc
$111
Genentech USA, Inc.
$53
PFIZER INC.
$52
Nabriva Therapeutics, plc
$52
GENZYME CORPORATION
$51
Shire North American Group Inc
$49
Teva Pharmaceuticals USA, Inc.
$41
Electromed, Inc.
$38
Circassia Pharmaceuticals Inc
$35
Paratek Pharmaceuticals, Inc.
$34
Mallinckrodt Hospital Products Inc.
$32
Mallinckrodt Enterprises LLC
$31
Pulmonx Corporation
$22
JAZZ PHARMACEUTICALS INC.
$21
ABBVIE INC.
$20
Merck Sharp & Dohme Corporation
$19
Amgen Inc.
$17
Philips Electronics North America Corporation
$17
Baxter Healthcare
$17
Actelion Pharmaceuticals US, Inc.
$17
Insmed, Inc.
$16
Regeneron Healthcare Solutions, Inc.
$14
Biogen, Inc.
$12
Top 3 companies account for 60.9% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ACTHAR · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · AirDuo Digihaler · Arikayce · BEVESPI AEROSPHERE · BREO · BREO ELLIPTA · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · CHARTIS CATHETER · CUVITRU · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · EVUSHELD · Esbriet · FASENRA · GLASSIA · Hillrom - Vest System Model 105 Home Care · LINZESS · LONHALA MAGNAIR · NIOX VERO · NUCALA · NUZYRA · OPSUMIT · OXBRYTA · Otezla · Prolastin-C · Prolastin-C Liquid · SIVEXTRO · SMARTVEST · SPINRAZA · SPIRIVA · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · Utibron · Wegovy · Xenleta · YUPELRI · Yupelri
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a pulmonary disease specialist in Dayton?
Compare pulmonary diseases in the Dayton area by procedure volume, costs, and industry payment transparency.
Browse pulmonary diseases nearby

Geographic Context

Pulmonary diseases within 10 mi
29
Per 100K population
5.4
County median income
$64,403
Nearest hospital
KETTERING HEALTH MAIN CAMPUS
5.6 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Wagshul is a clinical cardiology specialist, with above-average Medicare volume (top 4% in OH), with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Wagshul experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Wagshul performed 723 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Wagshul receive payments from pharmaceutical companies?
Yes. Dr. Wagshul received a total of $5,392 from 30 companies across 342 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Wagshul's costs compare to other pulmonary diseases in Dayton?
Dr. Wagshul's average Medicare payment per service is $49. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Wagshul) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →