2026 NPPES data Cardiovascular Disease Physician NPI 1972879161 M.D.
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John Wagener, M.D.

Cardiovascular Disease Physician in Sioux Falls, South Dakota. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 24,795 in Cardiovascular Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 340 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$11.3K
64 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Wagener, M.D. filed 1,613 Medicare Part D claims in 2023 as a Cardiovascular Disease Physician in Sioux Falls, South Dakota, prescribing 87% generic.

2K
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

John Wagener, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,613 Top 18% higher than 82% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

John Wagener, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about John Wagener, M.D.?

Quality data not reported

NPI registry status

Active

Issued 04/01/2012

NPI 1972879161

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

1,613 47% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

Specialty distribution in South Dakota

How Cardiovascular Disease Physician compares to other specialties among South Dakota providers

South Dakota providers

Largest specialties in South Dakota (% of in-state providers)

Physical Therapist — 5.6%Physical Therapist5.6%Pharmacist — 5.5%Pharmacist5.5%Registered Nurse — 4.8%Registered Nurse4.8%Family Nurse Practitioner — 4.7%Family Nurse Practitioner4.7%Mental Health Counselor — 4%Mental Health Counselor4%Physician Assistant — 3.7%Physician Assistant3.7%Cardiovascular Disease Physician — 0.2%Cardiovascular Disease Physician0.2%
Largest specialties in South Dakota (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Cardiovascular Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Cardiovascular Disease Physician ABMS/AOA estimate

Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

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).

John Wagener, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 4520 W 69TH ST, Sioux Falls, SD, 57108, with a listed phone of (605) 977-5000. NPI 1972879161 was issued on 04/01/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Wagener 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 records for calendar year 2023 show 1,613 prescription claims written by this provider, covering 340 Medicare beneficiaries and totaling roughly $241K in drug spend, split 13% brand-name and 87% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

4520 W 69TH ST
Sioux Falls, SD 57108

Provider Details

NPI 1972879161
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 04/01/2012

Hospital and facility affiliations

Facilities where John Wagener, M.D. 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.

Heart Hospital OF South Dakota LLC
Sioux Falls, SD

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for John Wagener, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$11.3K

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

John Wagener, M.D. — brand share 13.0%
Cardiovascular Disease Physician average

13% brand-name claims vs 87% generic, on 1,613 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,613
Total Claims
$241K
Total Drug Cost
340
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,049
Total Day Supply
89,258
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$217K
Generic Drug Cost
$24K
Antibiotic Claims
25

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.47
Gender Split
48% female / 52% male
Age Distribution
<65: 17, 65-74: 143, 75-84: 133, 85+: 47

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What John Wagener, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Metoprolol Succinate
208
Atorvastatin Calcium
182
Furosemide
158
Clopidogrel
Clopidogrel Bisulfate
154
Carvedilol
153
Eliquis
Apixaban
105
Amlodipine Besylate
80
Lisinopril
71
Isosorbide Mononitrate Er
Isosorbide Mononitrate
49
Losartan Potassium
47

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Cardiovascular Disease Physician Overview

How John Wagener, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

John Wagener, M.D.'s 1,613 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Wagener.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the South Dakota medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Cardiovascular Disease Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is John Wagener, M.D.'s specialty?
John Wagener, M.D. specializes in Cardiovascular Disease Physician and practices in Sioux Falls, South Dakota. Credentials: M.D..
How much does John Wagener, M.D. prescribe under Medicare Part D?
In 2023, John Wagener, M.D. wrote 1,613 Medicare Part D claims totaling $241K in drug costs for 340 beneficiaries.
Where is John Wagener, M.D. located?
John Wagener, M.D. is located at 4520 W 69TH ST, Sioux Falls, SD, 57108. Phone: (605) 977-5000.
What is John Wagener, M.D.'s NPI number?
John Wagener, M.D.'s National Provider Identifier (NPI) is 1972879161, issued on 04/01/2012.
Does John Wagener, M.D. prescribe more brand-name or generic drugs?
John Wagener, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $217K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does John Wagener, M.D. prescribe most often?
Based on 2023 Medicare Part D data, John Wagener, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Wagener, M.D. accept Medicare?
John Wagener, M.D. appears in CMS Medicare data with 1,613 Part D claims and 340 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Wagener, M.D.'s credentials?
John Wagener, M.D.'s NPI is 1972879161 with credentials M.D.. 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.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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

Compiled from official public sources by the PlainDoctor editorial team.