Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeffrey David Wagner, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1881690790

Dr. Jeffrey David Wagner, MD is a Plastic and Reconstructive Surgery in Indianapolis, Indiana. Graduated from University of Minnesota Medical School in 1986, 40 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
40
Trained at
University of Minnesota Medical School
Licensed in
IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8040 Clearvista Pkwy Ste 520
Indianapolis, IN 46256-5604
Phone: (317) 621-9470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8040 Clearvista Pkwy, Indianapolis, IN 46256 — (317) 621-2520

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 01041504A (IN)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 01041504 (IN)

Record details

NPI number1881690790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2005
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesSURGICAL ONCOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1986 (40 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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