RICHARD F JR. WAGNER (MD) – Dermatology Physician, NPI 1518025204

RICHARD F JR. WAGNER (MD) is a healthcare provider. based in Galveston, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. H3767 (TX). The NPI Number for RICHARD F JR. WAGNER (MD) is 1518025204

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD F JR. WAGNER (MD)
NPI
1518025204
Phone
(409) 772-2222
Address
301 UNIVERSITY BLVD
Enumeration Date
5 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
4097722222
Graduation Year
1980 (46 years ago)
PAC ID
8628103215
Group Practice PAC ID
3375456734
Professional Enrollment ID
I20100322000491
Address ID
TX775555302GA301XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for RICHARD F JR. WAGNER (MD)

  • 301, University Boulevard - 6th Street, Galveston, Galveston County, Texas, 77550, United States

    RT 1022

    GALVESTON, TX 775555302

    Phone: (409) 772-2222

    Type: Mailing

  • 400, Harborside Drive, Galveston, Galveston County, Texas, 77550, United States

    GALVESTON, TX 775550001

    Phone: (409) 772-2222

    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: 2010-03-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100322000491IDermatologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks6959$0
99214Established patient office or other outpatient visit, 30-39 minutes6664$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks4229$0
12052Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm1514$0
View full utilization report →

Insurance plans in this area (ZIP 77555)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375456734View full group profile
NameSpecialtyState
-TX
-TX
-NY
Sleep Medicine, Critical Care (Intensivists)TX
Surgical OncologyNY
General SurgeryTN
General SurgeryGA
U R O L O G YNY
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

How do payers reference RICHARD F JR. WAGNER (MD)?
For RICHARD F JR. WAGNER (MD), use NPI 1518025204 as the unique 10-digit identifier.
Is there an active status for RICHARD F JR. WAGNER (MD)?
For scheduling context, RICHARD F JR. WAGNER (MD) is shown as active in the registry.
What area of care is associated with RICHARD F JR. WAGNER (MD)?
RICHARD F JR. WAGNER (MD)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is RICHARD F JR. WAGNER (MD) registered?
Use Galveston, Texas as the headline location for RICHARD F JR. WAGNER (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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