DR. RICHARD KENT WAGNER (MD) – Maternal & Fetal Medicine Physician, NPI 1003858952
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
827 OBSTETRICS/GYNECOLOGY in CT
Provider Addresses for DR. RICHARD KENT WAGNER (MD)
220 Main St Ste 1A
Oxford, CT 064781065
Phone: (203) 735-4090
Fax: (203) 735-4093
Type: Location
282 Washington St
Hartford, CT 061063322
Phone: (860) 837-5560
Type: Location
263 FARMINGTON AVENUE
FARMINGTON, CT 060308085
Phone: (860) 679-3387
Fax: (860) 679-1494
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752846098
Phone: (903) 324-6400
Type: Mailing
620, South Fleishel Avenue, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 75701
Phone: (903) 606-4900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-02-07 • Largest payer in this snapshot: NeuroLogica Corporation, a subsidiary of Samsung Electronics Co., Ltd. ($133).
Total Amount
$133
General + Research + Ownership
Payments
1
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160914002686 | I | Obstetrics/Gynecology | TX | TBD |
| I20210413000623 | I | Obstetrics/Gynecology | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06478)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | NY | |
| E N D O C R I N O L O G Y | VA | |
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | CT | |
| Endocrinology, Internal Medicine | CT | |
| Critical Care (Intensivists) | CT | |
| Hospitalist, Internal Medicine | CT | |
| Gynecological Oncology | NY | |
| Physician Assistant | CT | |
| Hand Surgery, Orthopedic Surgery | CT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.