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RICHARD K WAGNER MD
NPI 1184868598
Psychiatry & Neurology - Addiction Medicine in Janesville, WI

Active since April 29, 2009PECOS Enrolled
903 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 756-5555(608) 756-0174 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard K Wagner Md NPPES

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

RICHARD K WAGNER MD (NPI 1184868598) is an individual addiction medicine provider in Janesville, Wisconsin, licensed in Wisconsin (64250-20) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1184868598
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameRICHARD K WAGNERCredential: MD
Location Address903 MINERAL POINT AVEJanesville, WI 53548-2970
Mailing Address903 Mineral Point AveJanesville, WI 53548-2970 · (608) 756-5555 · Fax (608) 756-0174
Phone(608) 756-5555
Fax(608) 756-0174
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 29, 2009
Last NPPES UpdateJuly 14, 2015
✔ NPI 1184868598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in WI · 64250-20
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
903 MINERAL POINT AVE, Janesville, WI 53548
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard K Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426364084
PECOS Enrollment IDI20231030002734
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Richard Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unison Behavioral Health Group, Inc.
292 mi
Community/Behavioral Health
1425 STARR AVE
Toledo, OH 43605
  • Reassigned Medicare billing, Ohio enrollment
  • 84 clinicians in this Medicare group
NPI 1952370561 (419) 693-0631

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMELA D. CISNEROS
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-5555
JESSICA L BENASH LCSW, MSW
Social Worker (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-5555
REBECCA L DAVIS LPC-IT, SAC
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6530
DR. AMY SOSA PSY.D.
Psychologist (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-5555
JODIE NICOLE HOEKMAN LPC, SAC-IT
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-5555
BRET J. LOESCHER PSY.D., LPC, SAC
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-5555
DR. ASHLEY A. CRULL PSY.D.
Psychologist (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (086) 756-5555
PHYLLICIA M NEHLS LCSW
Social Worker (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-5555

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 1184868598. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is Richard Wagner located?

Richard Wagner practices at 903 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-5555.

What is Richard Wagner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Richard Wagner enrolled in Medicare?

Yes. Richard Wagner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Wagner reassigns Medicare benefits to Unison Behavioral Health Group, Inc. (Toledo, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Richard Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Wagner was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.