DR. PETER J WAGNER (M.D.) – Orthopaedic Surgery Physician, NPI 1285995100
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ORTHOPEDIC SURGERY in RI
Provider Addresses for DR. PETER J WAGNER (M.D.)
PO BOX 1119
PROVIDENCE, RI 029011119
Phone: (401) 443-4150
Type: Mailing
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Phone: (401) 330-1476
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $5,366.
Total Amount is formed as General ($5,366) + Research ($0) + Ownership ($0) = $5,366.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Spineart USA Inc ($2,253).
Total Amount
$5,366
General + Research + Ownership
Payments
39
Total payment records
General Amount
$5,366
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Spineart USA Inc | $2,253 |
| Stryker Corporation | $1,843 |
| SI-BONE, INC. | $372 |
| Globus Medical, Inc. | $288 |
| Augmedics Inc. | $192 |
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: 2019-06-13
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 |
|---|---|---|---|---|
| I20180712003145 | I | Orthopedic Surgery | RI | TBD |
| I20190613001887 | I | Orthopedic Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 391 | 291 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 220 | 184 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 157 | 146 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 93 | 66 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 72 | 13 | $0 |
Insurance plans in this area (ZIP 02901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CT | |
| Physical Therapist In Private Practice | CT | |
| Family Practice | CT | |
| Physical Therapist In Private Practice | CT | |
| Occupational Therapist In Private Practice | NY | |
| Internal Medicine | CT | |
| Physical Therapist In Private Practice | CT | |
| Nurse Practitioner | CT | |
| Physical Therapist In Private Practice | CT | |
| Physical Therapist In Private Practice | MA |
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