Doctor profile · Federal record
Dr. Richard Wagoner, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Havana, IL
- NPI 1861458952
- Accepts Medicare
- MIPS 90.0 / 100 · 2023
- 25 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
615 N Promenade St
Havana, IL 626441243
(309) 543-6600
fax (309) 543-2089
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- June 1, 2012
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Illinois #036104579
- Medicaid
- IL #036104579
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861458952. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
44
Distinct HCPCS
2
Medicare allowed
$4,304
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
45380 |
Biopsy of large bowel using a flexible endoscope | 24 | 24 | $173 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 20 | 13 | $8 |
In context: peer comparison
Among 1 peers in Havana Internal Medicine Physician, average services per provider: 22. This provider delivers 2.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
4,288
Patients
818
Total drug cost
$55,301
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 615 | 142 | $7,509 |
| Levothyroxine Sodium | Generic | 398 | 71 | $5,027 |
| Warfarin Sodium | Generic | 368 | 20 | $1,514 |
| Lisinopril | Generic | 341 | 70 | $2,227 |
| Amlodipine Besylate | Generic | 328 | 65 | $2,207 |
| Potassium Chloride | Generic | 294 | 58 | $9,517 |
| Metoprolol Succinate | Generic | 277 | 51 | $4,187 |
| Omeprazole | Generic | 266 | 56 | $4,359 |
| Hydrochlorothiazide | Generic | 244 | 51 | $1,176 |
| Losartan Potassium | Generic | 236 | 48 | $2,727 |
Hospital affiliations
Frequently asked questions
What is Dr. Richard Wagoner's medical specialty?
Dr. Richard Wagoner practices Internal Medicine Physician in Havana, IL.
Where does Dr. Richard Wagoner practice?
Dr. Richard Wagoner practices at 615 N Promenade St, Havana, IL 626441243. Office phone: 3095436600.
What is Dr. Richard Wagoner's NPI?
Dr. Richard Wagoner's National Provider Identifier (NPI) is 1861458952, issued by NPPES.
Does Dr. Richard Wagoner accept Medicare assignment?
Yes. Dr. Richard Wagoner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Richard Wagoner commonly perform?
Top Medicare-reported procedures in 2023: Biopsy of large bowel using a flexible endoscope (HCPCS 45380); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.