RICHARD G. WAGGENER (M.D.) – Diagnostic Radiology Physician, NPI 1518917830
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for RICHARD G. WAGGENER (M.D.)
2800 CAMPUS DR STE 10
PLYMOUTH, MN 554418812
Phone: (763) 559-2171
Type: Mailing
3366 OAKDALE AVE N
ROBBINSDALE, MN 554222948
Phone: (763) 398-6383
Type: Location
222, South 1st Street, Louisville, Jefferson County, Kentucky, 40202, United States
LOUISVILLE, KY 402025404
Phone: (502) 583-2731
Fax: (502) 583-2733
Type: Mailing
136C, 200, Abraham Flexner Way, Louisville, Jefferson County, Kentucky, 40202, United States
LOUISVILLE, KY 402021818
Phone: (502) 587-4231
Type: Location
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: 2023-11-10
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 |
|---|---|---|---|---|
| I20100920000724 | I | Diagnostic Radiology | KY | TBD |
| I20231110001474 | 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 |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 486 | 486 | $0 |
| 71045 | X-ray of chest, 1 view | 386 | 355 | $0 |
| 77067 | Screening mammography | 320 | 320 | $0 |
| 77063 | Screening 3d breast mammography | 319 | 319 | $0 |
| 71046 | X-ray of chest, 2 views | 217 | 209 | $0 |
Insurance plans in this area (ZIP 55441)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | KY | 20610 | Aspiration and/or injection of large joint or joint capsule | 15 | 13 |
| DIAGNOSTIC RADIOLOGY | KY | 71010 | X-ray of chest, 1 view, front | 1584 | 1101 |
| DIAGNOSTIC RADIOLOGY | KY | 71250 | CT scan chest | 155 | 147 |
| DIAGNOSTIC RADIOLOGY | KY | 73630 | X-ray of foot, minimum of 3 views | 120 | 103 |
| DIAGNOSTIC RADIOLOGY | KY | 74177 | CT scan of abdomen and pelvis with contrast | 195 | 188 |
| DIAGNOSTIC RADIOLOGY | KY | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 82 | 78 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Interventional Radiology | MN | |
| Vascular Surgery | MN | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| - | MN |
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