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DR. RICHARD LAVERNE WAGNER MD
NPI 1134236334
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since August 24, 2006Opted out of Medicare · through Jan 25, 2028
12 BENEVOLENT ST, PROVIDENCE, RI 02906(401) 952-8006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Richard Laverne Wagner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD LAVERNE WAGNER MD (NPI 1134236334) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (MD06303) and active in the NPI registry since August 2006. He has opted out of Medicare through January 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1134236334
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RICHARD LAVERNE WAGNERCredential: MD
Location Address12 BENEVOLENT STProvidence, RI 02906-1103
Mailing Address12 Benevolent StProvidence, RI 02906-1103 · (401) 952-8006
Phone(401) 952-8006
Sole ProprietorYes
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1134236334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in RI · MD06303✔ Licensed in VA · 0101032864
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
12 BENEVOLENT ST, Providence, RI 02906
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Richard Laverne Wagner Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 25, 2016 through January 25, 2028.

Opt-Out Effective DateJanuary 25, 2016
Opt-Out In Effect ThroughJanuary 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Wagner's NPI number?

The NPI number for Richard Wagner is 1134236334. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Richard Wagner located?

Richard Wagner practices at 12 Benevolent St, Providence, RI 02906. The listed phone number is (401) 952-8006.

What is Richard Wagner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Richard Wagner enrolled in Medicare?

No. Richard Wagner has opted out of Medicare through January 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Richard Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.