RICHARD WAGNER (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1881647956

RICHARD WAGNER (M.D.) is a healthcare provider. based in Corsicana, Texas. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. 35C.001377 (OH). The NPI Number for RICHARD WAGNER (M.D.) is 1881647956

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD WAGNER (M.D.)
NPI
1881647956
Phone
Not provided
Address
904 DRANE PL
Enumeration Date
18 May 2006
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9365463891
Graduation Year
1992 (34 years ago)
PAC ID
0143280842
Group Practice PAC ID
7810117223
Professional Enrollment ID
I20041018000206
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for RICHARD WAGNER (M.D.)

  • 904, Drane Place, Corsicana, Navarro County, Texas, 75110, United States

    CORSICANA, TX 751102536

    Phone:

    Type: Mailing

  • 2900, Loop 256, Palestine, Anderson County, Texas, 75801, United States

    PALESTINE, TX 758016958

    Phone: (903) 731-1144

    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: 2024-04-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230807002947IEmergency MedicineGATBD
I20240422001936IEmergency MedicineOHTBD

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

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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 75110)

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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: 7810117223View full group profile

Reviews

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Frequently asked questions

How do I look up RICHARD WAGNER (M.D.) by NPI?
Use NPI 1881647956 when you need to reference RICHARD WAGNER (M.D.) in forms, claims, or directories.
Is RICHARD WAGNER (M.D.) active in the national directory?
RICHARD WAGNER (M.D.)'s public NPI profile is in an active state.
What field does RICHARD WAGNER (M.D.) work in?
You can think of RICHARD WAGNER (M.D.) as practicing within Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for RICHARD WAGNER (M.D.)?
The page summarizes Corsicana, Texas for RICHARD WAGNER (M.D.); expand the address list for detail.
What if Corsicana, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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