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RICK JOSEPH WAGNER MD
NPI 1376509687
Surgery in Winner, SD

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
97.33/100
CMS Quality Rating
825 E 8TH ST STE 202, WINNER, SD 57580(605) 842-1612(605) 842-3837 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rick Joseph Wagner Md NPPES

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

RICK JOSEPH WAGNER MD (NPI 1376509687) is an individual surgery provider in Winner, South Dakota, licensed in South Dakota (4183) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Winner Regional Healthcare Center - Cah, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1990).

NPPES Registry Identity

NPI1376509687
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICK JOSEPH WAGNERCredential: MD
Location Address825 E 8TH ST STE 202Winner, SD 57580-2633
Mailing Address825 E 8th St Ste 202Winner, SD 57580-2633 · (605) 842-1612 · Fax (605) 842-3837
Phone(605) 842-1612
Fax(605) 842-3837
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1990
Enumeration DateApril 25, 2006
Last NPPES UpdateDecember 13, 2016
✔ NPI 1376509687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SD · 4183
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
825 E 8TH ST STE 202, Winner, SD 57580
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Other Identifiers 9

Medicaid7301542SD
Medicare PINS101960SD
Other4992949SD · Wellmark Bc/bs
Medicaid460381151-13NE
Other25420SD · Sanford Health Plan
Medicare NSC0744020001
Medicare PIN020012367
Other41831SD · Dakotacare
Medicare UPINF78147

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Rick Joseph Wagner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719078948
PECOS Enrollment IDI20070802000280, I20251007001078
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 Reassignments

4

Medicare enrollment records show Rick Wagner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winner Regional Healthcare Center
Same address
Critical Access
745 E 8TH ST
Winner, SD 57580
  • Reassigned Medicare billing, South Dakota enrollment
  • 41 clinicians in this Medicare group
NPI 1538233549 (605) 842-7100
Winner Surgery Clinic, P.C.
0.1 mi
Surgery
825 E 8TH ST, SUITE 202
Winner, SD 57580
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Winner Surgery Clinic PC
NPI 1730586736 (605) 842-1612
Sioux Center Health
172 mi
Family Medicine
920 AVENUE F
Hawarden, IA 51023
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1326056755 (Iowa)
  • 50 clinicians in this Medicare group
NPI 1225507510 (712) 551-1000
Floyd Valley Hospital
191 mi
Cardiovascular Disease
714 LINCOLN ST NE
Le Mars, IA 51031
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Floyd Valley Healthcare
  • 51 clinicians in this Medicare group
NPI 1558423640 (712) 546-3398

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
55 services52 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
44 services44 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
33 services33 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
27 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431334
Location745 East 8th StreetWinner, SD 57580 · Tripp County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57580 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.25
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES

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

GREGG M. TOBIN, MD, PC
Surgery
825 E 8TH ST STE 202
WINNER, SD 57580
Tripp County (605) 842-1612

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 Rick Wagner's NPI number?

The NPI number for Rick Wagner is 1376509687. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Rick Wagner located?

Rick Wagner practices at 825 E 8th St Ste 202, Winner, SD 57580. The listed phone number is (605) 842-1612.

What is Rick Wagner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rick Wagner enrolled in Medicare?

Yes. Rick Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rick Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rick Wagner reassigns Medicare benefits to 4 organizations: Winner Regional Healthcare Center (Winner, SD), Winner Surgery Clinic, P.C. (Winner, SD), Sioux Center Health (Hawarden, IA) and Floyd Valley Hospital (Le Mars, IA). Each 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 Rick Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rick Wagner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 3 other insurers list Rick 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.

Is Rick Wagner affiliated with any hospitals?

According to CMS data, Rick Wagner is affiliated with Winner Regional Healthcare Center - Cah.

When was this NPI record last updated?

The NPPES record for Rick Wagner was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.