RYAN DAVID WAGNER (MD) – Surgery of the Hand (Plastic Surgery) Physician, NPI 1245692086
Surgery of the Hand (Plastic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
588 PLASTIC AND RECONSTRUCTIVE SURGERY in TX
Provider Addresses for RYAN DAVID WAGNER (MD)
6560 Fannin St Ste 2200
Houston, TX 770302715
Phone: (713) 441-6100
Type: Location
24510 NORTHWEST FWY STE 630
CYPRESS, TX 774292199
Phone: (325) 333-7508
Fax: (832) 533-3751
Type: Mailing
5927, Almeda Road, Houston, Harris County, Texas, 77004, United States
UNIT 22401
HOUSTON, TX 770047791
Phone: (860) 933-9958
Type: Mailing
Texas Children's Hospital - Clinical Care Center, 6701, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
SUITE 610
HOUSTON, TX 770302608
Phone: (832) 822-3140
Type: Location
115 WITTON CT APT 4
CHARLOTTESVILLE, VA 229036414
Phone: (860) 933-9958
Type: Mailing
1215 LEE ST
CHARLOTTESVILLE, VA 229082608
Phone: (434) 243-6297
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $498.
Total Amount is formed as General ($498) + Research ($0) + Ownership ($0) = $498.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($166).
Total Amount
$498
General + Research + Ownership
Payments
7
Total payment records
General Amount
$498
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $166 |
| Mentor Worldwide LLC | $159 |
| MOTIVA USA, LLC | $134 |
| Endo USA, Inc. | $23 |
| Musculoskeletal Transplant Foundation Inc. | $16 |
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: 2025-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20250115003259 | I | Plastic And Reconstructive Surgery | TX | 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 77030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | FL | |
| Otolaryngology, Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Physician Assistant | TX | |
| Plastic And Reconstructive Surgery, Hand Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX |
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