Physician

John Francis Wagener, M.D.

According to 2025 Medicare claims, John Wagener, M.D. (NPI: 1972879161) practices internal medicine in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Minnehaha, SD. This provider's primary affiliated billing organization is HEART HOSPITAL OF SOUTH DAKOTA LLC (NPI: 1407109705; TIN: 562143771) and primary practice location at 57108-8148. Wagener is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Avera Prairie View ACO (ACO ID: A4692), Caravan Health ACO 43 LLC (ACO ID: A4974), and Aledade 103 Upper Midwest MSSP (ACO ID: A5003), participating under the MSSP model.

Wagener's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,428 traditional Medicare patients, billed 4,058 HCPCS/CPT codes, and received $405,003 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,051 prescription claims across 389 beneficiaries totaling $628,985 in drug costs, led by Vyndamax (Tafamidis). Open Payments data shows 73 records totaling $38,455. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $2,515 to $405,003. Similarly, Part D prescription costs have risen steadily, from $4,351 to $628,985. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.