DR. RICHARD OTTO WAGNER (MD) – Diagnostic Radiology Physician, NPI 1194752683
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for DR. RICHARD OTTO WAGNER (MD)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Location
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
STE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
N116W17866, Blackstone Circle, The Glen at Blackstone Creek, Village of Germantown, Washington County, Wisconsin, 53022, United States
GERMANTOWN, WI 530225665
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-03
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 |
|---|---|---|---|---|
| I20040329001695 | I | Diagnostic Radiology | WI | TBD |
| I20250603002599 | I | Diagnostic Radiology | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,950 | 1,709 | $0 |
| 71046 | X-ray of chest, 2 views | 936 | 917 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 289 | 276 | $0 |
| 74018 | X-ray of abdomen, 1 view | 276 | 262 | $0 |
| 73502 | X-ray of hip, 2-3 views | 263 | 253 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WI | 71010 | X-ray of chest, 1 view, front | 87 | 87 |
| DIAGNOSTIC RADIOLOGY | WI | 73110 | X-ray of wrist, minimum of 3 views | 13 | 12 |
| DIAGNOSTIC RADIOLOGY | WI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | FL | |
| Emergency Medicine, Internal Medicine | GA | |
| - | MN | |
| Diagnostic Radiology, Interventional Radiology | GA | |
| Emergency Medicine | GA |
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