npidexNPI registry + Medicare data

DERRICK WAGONER, D.O.

Diagnostic Radiology Physician · EDMOND, OK

Individual Active NPI 1760829220

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241,1832,377$897,294$203,554$153,148
20231,2272,376$848,140$199,906$149,996
20221,3972,726$1,000,061$251,831$195,196

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
71045X-ray of chest, 1 view238$8$6
62323Injection of substance into lower spine canal using imaging guidance194$244$187
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg190$1$1
70450Ct scan head or brain without contrast119$38$27
62321Injection of substance into middle or upper spine canal using imaging guidance86$244$184
74177Ct scan of abdomen and pelvis with contrast83$83$57
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg77$7$6
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance65$200$151
71046X-ray of chest, 2 views52$10$7
72125Ct scan of upper spine without contrast48$45$33
64493Injection of lower or sacral spine facet joint using imaging guidance, single level47$236$179
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint44$601$470

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Diagnostic Radiology Physician2085R0202X✓6324OK

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.