Bradford S. Wagner, MD
NPI 1083848030ActiveIndividual· Family Medicine, Sports Medicine· South Portland, ME
Family Medicine, Sports Medicine (MD) in South Portland, Maine, trained at University of Massachusetts Medical School (class of 2009). 166 Medicare patients in 2024, $55,001 paid; nearly all of their 96 Part D prescriptions were generic (99%).
Overview
| NPI | 1083848030 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 6, 2009 |
| Last updated in NPPES | Mar 3, 2026 |
| Certified by provider | Mar 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | MD19486 | ME |
| Family Medicine | 207Q00000X | MD19486 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 166 |
|---|---|
| Services billed | 5,330 across 52 procedure codes |
| Paid by Medicare | $55,001 |
Part D prescriptions in 2024
| Prescriptions (claims) | 96 · 135 30-day fills |
|---|---|
| Patients | 63 |
| Total drug cost | $3,047 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Massachusetts Medical School |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Family Practice |
| Secondary specialties | Sports Medicine |
Medical groups
- Intermed PASouth Portland, ME · 183 clinicians
- Riverview Physical Therapy Limited PartnershipYarmouth, ME · 63 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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