Matthew Robert Wagner, MD
Pediatric Orthopaedic Surgery Physician · Port Jefferson Station, NY
Matthew Robert Wagner, MD is a pediatric orthopaedic surgery physician with a practice address in Port Jefferson Station, New York, and NPI 1114198751, issued on Mar 21, 2008. Check the license (New York 251727, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Matthew Robert Wagner
- Credential
- MD
- Primary taxonomy
- Pediatric Orthopaedic Surgery Physician 207XP3100X
- License numbers
- 251727 NY
ME103612 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1500 Route 112 Bldg 2C, Port Jefferson Station, NY 11776
- Phone
- (631) 371-8034
- Enumerated
- Mar 21, 2008
- Record last updated
- Nov 5, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (631) 828-7899
- Entity
- Type 1 · individual
8 nearest pediatric orthopaedic surgery physician records → All 58 in New York → Look up another NPI →
Also registered at 1500 Route 112 Bldg 2C
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lidia AniAdult Reconstructive Orthopaedic Surgery Physician1184289977
Verify Matthew Robert Wagner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 251727Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $215.75
4 payments; by number, the most common kind was food and beverage; the largest payer was Miach Orthopaedics, Inc. The 503 providers of this specialty with any payment received $5,092.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Matthew Robert Wagner among 58 pediatric orthopaedic surgery physician records in New York
Matthew Robert Wagner, MD is one of 58 pediatric orthopaedic surgery physician records with a practice address in New York. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 45% of them.
- NPI issued2008 · 45% of these records are older, 41% newer
- In a Medicare fileYes · 69% of these records are
- In the CMS Doctors and Clinicians fileNo · 38% of these records are
- Record last updated2019 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XP3100X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Orthopaedic Surgery Physician providers in New York
There are 58 pediatric orthopaedic surgery physician records in New York.
All 58 in New York → Every provider in Port Jefferson Station → Pediatric Orthopaedic Surgery Physician nationwide →
The 8 pediatric orthopaedic surgery physician records with the nearest ZIP codes
- Dorian CohenStony Brook, NY 117941457970832
- Martin Gruber, M.D.Stony Brook, NY 117941528145802
- James Barsi, M.D.East Setauket, NY 117331376710178
- Stuart Polisner, MDCommack, NY 117251467538298
- Michael Trepeta, D.O.Valley Stream, NY 115801164584553
- Cathleen Raggio, M.D.Uniondale, NY 115531962518688
- John Gaffney, DOGarden City, NY 115301548232465
- Meredith Lazar-Antman, M.D.Garden City, NY 115301912186875
Common questions
What is Matthew Robert Wagner, MD's NPI number?
Matthew Robert Wagner, MD's National Provider Identifier (NPI) is 1114198751, issued on Mar 21, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Matthew Robert Wagner, MD located?
The NPPES record lists a practice address at 1500 Route 112 Bldg 2C, Port Jefferson Station, NY, 11776. Phone: (631) 371-8034. Providers update this record themselves, so call before visiting.
How can I verify Matthew Robert Wagner, MD's license?
NPPES lists New York license number 251727, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.