Keith Dineen Wagner, M.D.
NPI 1760047112ActiveIndividual· Dermatology· Appleton, WI
Dermatology (M.D.) in Appleton, Wisconsin, trained at University of Texas Medical Branch at Galveston (class of 2015). Their prescriptions cost Medicare Part D more than their services did: $795,153 for 1,449 claims, against $84,710 paid for services in 2024. Regeneron Healthcare Solutions, Inc. was the largest of 11 companies reporting payments in 2025, $849.80 in all, mostly food and beverage.
Overview
| NPI | 1760047112 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 1, 2019 |
| Last updated in NPPES | Sep 11, 2023 |
| Certified by provider | Sep 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 82425-20 | WI |
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 - Dermatology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 458 |
|---|---|
| Services billed | 1,948 across 56 procedure codes |
| Paid by Medicare | $84,710 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,449 · 1,637 30-day fills |
|---|---|
| Patients | 521 |
| Total drug cost | $795,153 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | University of Texas Medical Branch at Galveston |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Dermatology |
Medical group
- Forefront Dermatology SCSouthlake, TX · 662 clinicians
Industry payments (Open Payments)
- 2025$849.80 · 34 payments from 11 companies
- 2024$431.84 · 17 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | $219.62 | 9 |
| Sun Pharmaceutical Industries Inc. | $119.95 | 2 |
| Abbvie Inc. | $113.51 | 5 |
| Novartis Pharmaceuticals Corporation | $97.31 | 4 |
| Amgen Inc. | $88.22 | 4 |
What the 2025 payments were for
- Food and Beverage$754.81 · 33 payments
- Education$94.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dermatology providers in Appleton
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