DR. DRUE O. WAGNER (M.D.) – Family Medicine Physician, NPI 1891918629

DR. DRUE O. WAGNER (M.D.) is a healthcare provider. based in Pullman, Washington. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 00028927 (WA). The NPI Number for DR. DRUE O. WAGNER (M.D.) is 1891918629

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. DRUE O. WAGNER (M.D.)
NPI
1891918629
Phone
(208) 892-1346
Address
825 SE BISHOP BLVD
Enumeration Date
10 April 2007
Last Update Date
4 February 2019

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5093326688
Graduation Year
1985 (41 years ago)
PAC ID
0840237913
Group Practice PAC ID
0648356543
Professional Enrollment ID
I20110214000503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. DRUE O. WAGNER (M.D.)

  • 825 SE BISHOP BLVD

    STE 901

    PULLMAN, WA 991635538

    Phone: (208) 892-1346

    Fax: (208) 892-8306

    Type: Mailing

  • 619 S WASHINGTON ST

    SUITE 203

    MOSCOW, ID 838433090

    Phone: (208) 892-1346

    Fax: (208) 892-8306

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 99163)

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Provider's Procedures

DR. DRUE O. WAGNER (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEID90670Pneumococcal vaccine for injection into muscle2424

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: 0648356543View full group profile
NameSpecialtyState
ROBERT NEAL SPADY (MD)
Internal Medicine, Family PracticeWA
LAURIE SUSANNE EDINGER (FNP)
Nurse PractitionerID
VICTORIA BERNARD (PA-C)
-AZ

Reviews

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Frequently asked questions

Can I cross-check DR. DRUE O. WAGNER (M.D.) using NPI 1891918629?
NPI 1891918629 belongs to DR. DRUE O. WAGNER (M.D.); compare other details if you need extra assurance.
Is DR. DRUE O. WAGNER (M.D.) shown as active in public data?
Registry records indicate DR. DRUE O. WAGNER (M.D.) maintains an active NPI.
What kind of doctor is DR. DRUE O. WAGNER (M.D.)?
DR. DRUE O. WAGNER (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is DR. DRUE O. WAGNER (M.D.) registered?
Use Pullman, Washington as the headline location for DR. DRUE O. WAGNER (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.