Derrick Wagoner, D.O.
NPI 1760829220 · Diagnostic Radiology Physician · Edmond, OK
Enrolled with Medicare as Practitioner - Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derrick Wagoner, D.O. is a Diagnostic Radiology Physician provider in Edmond, OK (NPI 1760829220).
Provider details
- NPI number
- 1760829220
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6324 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,671 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 238 | $8 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 194 | $244 |
| Ct Scan Head Or Brain Without Contrast70450 | 119 | $38 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance62321 | 86 | $244 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 83 | $83 |
| Injection of Anesthetic Or Steroid Into Joint Between Lower Spine and Hip Bone Using Imaging Guidance27096 | 65 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,001 across 21 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 325 Essjay RdWilliamsville, NY 14221-8243Phone: (716) 630-1000
Registry dates
- Enumerated
- 2013-05-23
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Frequently asked questions
- What is Derrick Wagoner's NPI number?
- Derrick Wagoner's National Provider Identifier (NPI) is 1760829220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Wagoner's specialty?
- Derrick Wagoner is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Derrick Wagoner located?
- Derrick Wagoner's practice location on file with NPPES is 1800 Renaissance Blvd Ste 110, Edmond, OK 73013.
- What is Derrick Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Derrick Wagoner is (405) 601-2325.
- Does Derrick Wagoner accept Medicare?
- Derrick Wagoner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derrick Wagoner's NPI active?
- Yes — Derrick Wagoner's NPI (1760829220) is active in the NPPES registry as of the last update on 2025-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.