2026 NPPES data Clinical Genetics (M.D.) Physician NPI 1528036985 MD
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ANDREW WAGNER, MD

Clinical Genetics (M.D.) Physician in CHICAGO, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
94.1036/100
▲ 11 pts above national avg 83.1 · [object Object]
What the federal data reveals: ANDREW WAGNER, MD is a Clinical Genetics (M.D.) Physician ([object Object]) practicing in CHICAGO, Illinois . Their CMS MIPS Final Score of 94.1036/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ANDREW WAGNER, MD reported a CMS MIPS final score of 94.1036 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANDREW WAGNER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ANDREW WAGNER, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/10/2006

NPI 1528036985

Primary specialty

Clinical Genetics (M.D.) Physician

Niche

825 US NPIs in this specialty

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Clinical Genetics (M.D.) Physician compares to other specialties among Illinois providers

Illinois providers

Clinical Genetics (M.D.) Physician share within Illinois

1. Clinical Genetics (M.D.) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Genetics (M.D.) Physician share within Illinois

Medicare quality performance — MIPS

ANDREW WAGNER, MD's 2023 MIPS final score plotted against the Clinical Genetics (M.D.) Physician national average

High performer (top quartile)
MIPS Final Score
94.1036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Genetics (M.D.) Physician) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Clinical Genetics (M.D.) Physician) — 94.1036/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREW WAGNER, MD is a Clinical Genetics (M.D.) Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1528036985. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW WAGNER, MD appears in the CMS NPPES registry as a Clinical Genetics (M.D.) Physician provider holding MD credentials at 675 N SAINT CLAIR ST, CHICAGO, IL, 60611, with a listed phone of (312) 695-7269. NPI 1528036985 was issued on 03/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WAGNER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Clinical Genetics (M.D.) Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1036/100 for the 2023 performance year (Quality 82.5938), compared with the national average of 83.1.

Clinical Genetics (M.D.) Physician is a narrow specialty nationwide, with 825 enrolled providers across 50 states and an average of 261 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

675 N SAINT CLAIR ST
CHICAGO, IL 60611

Provider Details

NPI 1528036985
Specialty Clinical Genetics (M.D.) Physician
Credentials MD
Gender Male
NPI Issued 03/10/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ANDREW WAGNER, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NORTHWESTERN MEDICAL FACULTY FOUNDATION
CHICAGO, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to ANDREW WAGNER, MD. To verify ANDREW WAGNER, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Clinical Genetics (M.D.) Physician Overview

How ANDREW WAGNER, MD fits within the Clinical Genetics (M.D.) Physician landscape nationally.

825
Clinical Genetics (M.D.) Physician Providers in US
50
States with Clinical Genetics (M.D.) Physician
261
Avg Claims per Provider

Nearby Clinical Genetics (M.D.) Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as WAGNER.

Compare Clinical Genetics (M.D.) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW WAGNER, MD's specialty?
ANDREW WAGNER, MD specializes in Clinical Genetics (M.D.) Physician and practices in CHICAGO, Illinois. Credentials: MD.
What is ANDREW WAGNER, MD's Medicare quality score?
ANDREW WAGNER, MD has a CMS MIPS Final Score of 94.1036/100 (Quality: 82.5938). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW WAGNER, MD located?
ANDREW WAGNER, MD is located at 675 N SAINT CLAIR ST, CHICAGO, IL, 60611. Phone: (312) 695-7269.
What is ANDREW WAGNER, MD's NPI number?
ANDREW WAGNER, MD's National Provider Identifier (NPI) is 1528036985, issued on 03/10/2006.
How many Clinical Genetics (M.D.) Physician providers are there in the US?
There are 825 Clinical Genetics (M.D.) Physician providers across 50 states in the US. The average Clinical Genetics (M.D.) Physician provider writes 261 Medicare Part D claims per year.
Does ANDREW WAGNER, MD accept Medicare?
ANDREW WAGNER, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW WAGNER, MD's credentials?
ANDREW WAGNER, MD's NPI is 1528036985 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology