Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Keith Dineen Wagner , MD

Dermatology โ€ข Appleton, WI

Active NPI 1760047112 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3935 N Lightning Dr
Appleton, WI 549136717

Call 9209681790 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3935 N Lightning Dr

Appleton, WI 549136717

Telephone 9209681790
Fax 9209681794
Organization at the Same NPPES Address or Phone
Forefront Dermatology, S.c. Facility NPI 1083768253

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Kaukauna, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Forefront Dermatology Sc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2015

Medicare patients

458 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $103,931 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $70,920 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

1,453 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$496,026 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $849.80 across 34 records.

By nature of payment

  • Food and Beverage: $754.81 across 33 records.
  • Education: $94.99 across 1 record.

Reporting-company totals (3 largest of 11)

  • Regeneron Pharmaceuticals, Inc.: $219.62 across 9 records.
  • SUN PHARMACEUTICAL INDUSTRIES INC.: $119.95 across 2 records.
  • ABBVIE INC.: $113.51 across 5 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wagner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wagner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Dermatology in Wisconsin (2024, 214 clinicians with data). Median for this group: 1,785. Middle half: 928 to 2,890.

Too few clinicians listed under Dermatology in Appleton have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Dermatology in Wisconsin (2024, 214 clinicians with data). Median for this group: $105,054. Middle half: $63,154 to $179,949.

Too few clinicians listed under Dermatology in Appleton have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Dermatology in Wisconsin (2024, 214 clinicians with data). Median for this group: $71,909. Middle half: $43,499 to $124,639.

Too few clinicians listed under Dermatology in Appleton have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Dermatology in Wisconsin (2024, 231 clinicians with data). Median for this group: 668. Middle half: 250 to 1,042.

Too few clinicians listed under Dermatology in Appleton have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Dermatology in Wisconsin (2024, 231 clinicians with data). Median for this group: $169,477. Middle half: $12,766 to $432,409.

Too few clinicians listed under Dermatology in Appleton have Medicare Part D data for 2024 to compare.

5 active clinicians are listed under Dermatology with a practice address in Appleton, WI (325 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 34 records totaling $849.80.

Manufacturer Payment Nature Product Type Amount ($)
SUN PHARMACEUTICAL INDUSTRIES INC.
Education
In-kind items and services
โ€” General $94.99
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $35.83
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $35.58
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $33.50
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $32.27
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $32.24
ABBVIE INC.
Food and Beverage
In-kind items and services
RINVOQ General $29.99
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $29.80
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $29.44
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $28.12
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $27.89
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $27.11
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $27.06
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $25.02
SUN PHARMACEUTICAL INDUSTRIES INC.
Food and Beverage
In-kind items and services
BLU-U General $24.96
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $24.62
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $22.12
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $21.58
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $21.43
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $21.42
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $21.18
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $21.09
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $19.69
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
Sotyktu General $18.74
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $18.13

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
538 117 $84.00 $6.31
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
315 248 $263.00 $85.16
17000 Destruction of precancer skin growth, 1 growth
190 159 $303.63 $48.63
11102 Biopsy of related skin growth, first growth
143 126 $378.00 $86.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
95 95 $321.00 $103.68
96910 Therapy procedure using ultraviolet radiation with tar or petroleum jelly application
91 13 $340.00 $110.80
17110 Destruction of skin growth, 1-14 growths
90 84 $419.00 $105.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
67 55 $147.53 $53.01
11103 Biopsy of related skin growth, each additional growth
53 28 $205.00 $46.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
36 29 $372.00 $120.43
99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
19 19 $223.46 $67.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $474.00 $155.85
69100 Biopsy of ear
15 15 $677.59 $68.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
13 12 $1002.00 $284.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
13 12 $695.89 $147.92
Q0112 All potassium hydroxide (koh) preparations
13 12 $59.68 $5.71
11900 Injection into skin growth, 1-7 growths
12 11 $201.78 $45.00
11104 Punch biopsy, first skin growth
11 11 $475.00 $117.03

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ketoconazole Ketoconazole 287 7,443 $3,926.56 160
Triamcinolone Acetonide Triamcinolone Acetonide 276 7,761 $3,539.39 195
Hydrocortisone Hydrocortisone 141 3,371 $685.50 112
Clobetasol Propionate Clobetasol Propionate 128 3,458 $4,322.15 72
Doxycycline Monohydrate Doxycycline Monohydrate 65 1,527 $1,793.93 49
Mupirocin Mupirocin 49 946 $445.93 32
Dupixent Pen Dupilumab 43 1,120 $168,708.30 โ€”
Fluorouracil Fluorouracil 42 1,149 $3,101.90 40
Spironolactone Spironolactone 39 2,048 $432.23 โ€”
Metronidazole Metronidazole 37 986 $1,957.48 25
Minoxidil Minoxidil 32 2,190 $314.06 11
Clindamycin Phosphate Clindamycin Phosphate 22 675 $653.22 17
Cosentyx Sensoready (2 Pens) Secukinumab 20 560 $206,564.78 โ€”
Prednisone Prednisone 19 440 $105.83 14
Fluocinonide Fluocinonide 19 464 $767.55 11
Terbinafine Hcl Terbinafine Hcl 18 520 $75.11 โ€”
Finasteride Finasteride 16 480 $37.16 โ€”
Tacrolimus Tacrolimus 15 399 $2,243.39 15
Valacyclovir Valacyclovir Hcl 13 55 $194.54 โ€”
Dupixent Syringe Dupilumab 12 336 $44,723.22 โ€”
Otezla Apremilast 11 326 $51,434.16 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-11
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES WI 82425-20

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DERMATOLOGY

Medicare Enrollment ID

I20230814003291

Enrollment State Jurisdiction

WI

PECOS Control ID

3971965567

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Forefront Dermatology Sc

3935 N Lightning Dr, Appleton, WI 549136717

Phone: 9209681790

Secondary Practice Locations

2700 Crooks Ave Ste 101

Kaukauna, WI 541303900

Phone: 9205815561

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1053806083

Physician Assistant (Certified), MPAS

NPI 1477725141

Doctor of Medicine (M.D.)

NPI 1801802046

Doctor of Medicine (M.D.)

NPI 1972863389

Doctor of Medicine (M.D.)

Dr. Brent Weed , MD

Dermatology - Dermatopathology

NPI 1104804038

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location July 19, 2023

Registered at 3935 N LIGHTNING DR, APPLETON, WI 549136717 (Tel: 9209681790)

๐Ÿ“
Updated Business Mailing Address July 19, 2023

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2023

Dermatology (license number reported to NPPES: WI 82425-20)

โœ…
NPI Profile Active May 01, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 01, 2019

Registered at 1 HURLEY PLZ, FLINT, MI 485035902 (Tel: 8327380335)

๐Ÿ“
Business Mailing Address (Initial Record) May 01, 2019

Registered at 1 HURLEY PLZ, FLINT, MI 485035902

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 01, 2019

Recorded as KEITH WAGNER, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration May 01, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760047112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2019
Last Update: September 11, 2023
Sole Proprietor: No

Other Dermatology Specialists in Appleton

Healthcare providers in Appleton

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.