Medicare Enrolled

Dr. Mark Wagner, D.O.

Family Medicine · Reading, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
623 NORTH 5TH STREET, Reading, PA 19601
6103748585
In practice since 2006 (19 years)
NPI: 1033202502 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. Wagner 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 →
Are you Dr. Wagner? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Wagner

Dr. Mark Wagner is a family medicine specialist in Reading, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Wagner performed 1,812 Medicare services across 871 unique beneficiaries.

Between the years covered by Open Payments, Dr. Wagner received a total of $5,858 from 47 pharmaceutical and/or device companies across 235 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Wagner 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.

✓ 19 years in practice ▲ Top 10% volume in PA $5,858 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,812
Medicare services
Top 10% in PA for family medicine
871
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~95 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
Nursing facility visit, moderate complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes.
893 $74 $135
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.
335 $49 $134
Initial nursing facility care, moderate complexity
Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes.
186 $98 $169
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
110 $119 $183
Annual depression screening 73 $17 $27
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
65 $29 $45
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
63 $75 $105
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.
23 $77 $190
Nursing facility visit, high complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes.
16 $117 $194
Transitional care management, high complexity
Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem.
14 $184 $381
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
12 $40 $80
Nursing facility discharge management, more than 30 minutes
This service involves care coordination and management activities performed by a healthcare professional to prepare a patient for discharge from a nursing facility. It requires more than 30 minutes of time spent on these activities.
11 $100 $167
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
11 $29 $45
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 ↗
$5,858
Total received (2018-2024)
Avg $837/year across 7 years
Top 10% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
235
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
$5,678 (96.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$181 (3.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$924
2023
$1,114
2022
$921
2021
$701
2020
$664
2019
$976
2018
$558

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$229
Lilly USA, LLC
$189
Phathom Pharmaceuticals, Inc.
$138
ABBVIE INC.
$90
Novartis Pharmaceuticals Corporation
$51
Novo Nordisk Inc
$46
Astellas Pharma US Inc
$45
PFIZER INC.
$33
Sumitomo Pharma America, Inc.
$28
Otsuka America Pharmaceutical, Inc.
$21
Amgen Inc.
$21
Neurocrine Biosciences, Inc.
$17
Kowa Pharmaceuticals America, Inc.
$15
Top 3 companies account for 60.2% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$987
Novo Nordisk Inc
$469
Boehringer Ingelheim Pharmaceuticals, Inc.
$405
Novartis Pharmaceuticals Corporation
$377
Amgen Inc.
$362
Lilly USA, LLC
$328
Teva Pharmaceuticals USA, Inc.
$320
AbbVie Inc.
$304
Astellas Pharma US Inc
$302
ABBVIE INC.
$252
PFIZER INC.
$192
Abbott Laboratories
$143
Phathom Pharmaceuticals, Inc.
$138
Amarin Pharma Inc.
$121
Merck Sharp & Dohme Corporation
$98
Janssen Pharmaceuticals, Inc
$76
Collegium Pharmaceutical, Inc.
$73
Acorda Therapeutics, Inc
$72
Biohaven Pharmaceuticals, Inc.
$62
SANOFI-AVENTIS U.S. LLC
$57
Otsuka America Pharmaceutical, Inc.
$43
Adlon Therapeutics L.P.
$42
Kowa Pharmaceuticals America, Inc.
$42
Allergan, Inc.
$42
GlaxoSmithKline, LLC.
$38
Merck Sharp & Dohme LLC
$37
Avanir Pharmaceuticals, Inc.
$35
Sunovion Pharmaceuticals Inc.
$34
Takeda Pharmaceuticals U.S.A., Inc.
$33
Shire North American Group Inc
$33
Sumitomo Pharma America, Inc.
$28
Allergan Inc.
$26
Scilex Pharmaceuticals Inc.
$24
Lundbeck LLC
$24
ITI, Inc.
$24
SUN PHARMACEUTICAL INDUSTRIES INC.
$23
Medtronic, Inc.
$22
Philips Electronics North America Corporation
$21
Eisai Inc.
$20
Bayer Healthcare Pharmaceuticals Inc.
$18
IDORSIA PHARMACEUTICALS US INC
$18
Esperion Therapeutics, Inc.
$17
Neurocrine Biosciences, Inc.
$17
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$17
Shield Therapeutics Inc
$16
ACADIA Pharmaceuticals Inc
$16
Purdue Pharma L.P.
$11
Top 3 companies account for 31.8% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ACCRUFER · ADHANSIA XR · AIRSUPRA · AJOVY · APTIOM · AUSTEDO · BASAGLAR · BELBUCA · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · CAPLYTA · CHANTIX · Dexilant · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · GEMTESA · INBRIJA · INFINITY · INGREZZA · JANUVIA · JARDIANCE · KAPSPARGO · Kerendia · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LYRICA · Leqembi · Livalo · MINIMED 770G · MOUNJARO · MYDAYIS · MYRBETRIQ · Myrbetriq · NEXLETOL · NUEDEXTA · NUPLAZID · NURTEC ODT · Nuedexta · Ozempic · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · REXULTI · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SYMPROIC · Saxenda · TOUJEO · TRADJENTA · TRULICITY · Trintellix · UBRELVY · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XTAMPZA · ZORYVE · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for family medicine in PA.

Looking for a family medicine specialist in Reading?
Compare family medicine physicians in the Reading area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
477
Per 100K population
110.9
County median income
$77,684
Nearest hospital
HAVEN BEHAVIORAL HOSPITAL OF EASTERN PENNSYLVANIA
0.0 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. Wagner is a clinical cardiology specialist, with above-average Medicare volume (top 10% in PA), with low-engagement industry engagement in the top 10% of PA peers, with 19 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. Wagner experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Wagner performed 893 nursing facility visit, moderate complexity 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. Wagner receive payments from pharmaceutical companies?
Yes. Dr. Wagner received a total of $5,858 from 47 companies across 235 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. Wagner's costs compare to other family medicine physicians in Reading?
Dr. Wagner's average Medicare payment per service is $72. 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. Wagner) 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 →