Doctor profile · Federal record
Dr. Derrick Wagoner, D.O.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Edmond, OK
- NPI 1760829220
- Accepts Medicare
- MIPS 83.4 / 100 · 2023
- 13 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1800 Renaissance Blvd Ste 110
Edmond, OK 73013
(405) 601-2325 - Additional location
-
325 Essjay RD
Williamsville, NY 142218243
(716) 630-1000 - Mailing address
-
321 Shappee St
Horseheads, NY 148451918
Credentials & registration
- NPI registered
- May 2013 — 13 yrs on file
- Profile last updated
- August 29, 2025
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Oklahoma #6324
- Medicaid
- OK #200769850A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1760829220. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,909
Distinct HCPCS
10
Medicare allowed
$169,317
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 248 | 219 | $9 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 181 | 121 | $1 | |
62323 |
Injection of substance into lower spine canal using imaging guidance | 179 | 121 | $256 | |
70450 |
Ct scan head or brain without contrast | 165 | 159 | $39 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 88 | 86 | $87 | |
62321 |
Injection of substance into middle or upper spine canal using imaging guidance | 77 | 55 | $255 | |
J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 63 | 46 | $7 | |
27096 |
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 58 | 33 | $194 | |
71046 |
X-ray of chest, 2 views | 58 | 58 | $10 | |
72125 |
Ct scan of upper spine without contrast | 58 | 58 | $47 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 92. This provider delivers 21× the peer median.Open Payments
Industry payments received
All-time total
$2,001
Transactions
21
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| SI-BONE, INC. | 9 | $1,199.23 | |
| Stratus Medical, LLC | 2 | $380.36 | |
| SPR Therapeutics, Inc | 1 | $95.73 | |
| Medtronic, Inc. | 1 | $71.22 | |
| Abbott Laboratories | 2 | $62.23 | |
| Nevro Corp. | 2 | $58.19 | |
| Globus Medical, Inc. | 1 | $48.74 | |
| PAINTEQ LLC | 1 | $33.67 | |
| Curonix LLC | 1 | $32.22 | |
| ABBVIE INC. | 1 | $19.59 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Derrick Wagoner's medical specialty?
Dr. Derrick Wagoner practices Diagnostic Radiology Physician in Edmond, OK.
Where does Dr. Derrick Wagoner practice?
Dr. Derrick Wagoner practices at 1800 Renaissance Blvd Ste 110, Edmond, OK 73013. Office phone: 4056012325.
What is Dr. Derrick Wagoner's NPI?
Dr. Derrick Wagoner's National Provider Identifier (NPI) is 1760829220, issued by NPPES.
Does Dr. Derrick Wagoner accept Medicare assignment?
Yes. Dr. Derrick Wagoner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Derrick Wagoner commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Injection of substance into lower spine canal using imaging guidance (HCPCS 62323). Source: CMS Medicare Physician & Other Practitioners file.