Tracie Wagner
NPI 1851804363ActiveIndividual· Speech-Language Pathologist· Baltimore, MD
Speech-Language Pathologist with Fox Rehab Slp MD LLC and 1 other group, practicing in Baltimore, Maryland. Medicare paid $113,094 for services to 66 patients in 2024.
Overview
| NPI | 1851804363 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 7, 2017 |
| Last updated in NPPES | Nov 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 05722 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 66 |
|---|---|
| Services billed | 2,967 across 8 procedure codes |
| Paid by Medicare | $113,094 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical groups
- Fox Rehab Slp MD LLCWaldorf, MD · 13 clinicians
- Accessible Speech Therapy, LLCBaltimore, MD · 2 clinicians
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