RICHARD JOHN WAGNER JR. DO
NPI 1639794589
Psychiatry & Neurology - Psychiatry in Erie, PA

Q: What is Richard Wagner's NPI number?

The NPI number for Richard Wagner is 1639794589. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Q: What is Richard Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richard Wagner was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 16, 2020PECOS EnrolledAccepts Medicare Assignment

5515 PEACH ST, ERIE, PA 16509(814) 864-4031 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Richard John Wagner Jr. Do NPPES

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

RICHARD JOHN WAGNER JR. DO (NPI 1639794589) is an individual psychiatry provider in Erie, Pennsylvania, licensed in Pennsylvania (OS022870) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Millcreek Community Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2020).

NPPES Registry Identity

NPI1639794589

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameRICHARD JOHN WAGNER JR.Credential: DO

Location Address5515 PEACH STErie, PA 16509-2695

Mailing Address1 Lecom PlErie, PA 16505-2571 · (814) 868-2507 · Fax (814) 868-2522

Phone(814) 864-4031

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2020

Enumeration DateJune 16, 2020

Last NPPES UpdateSeptember 14, 2023

NPPES CertifiedSeptember 14, 2023

✔ NPI 1639794589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in PA · OS022870

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT020105 (PA)

5515 PEACH ST, Erie, PA 16509

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard John Wagner Jr. Do 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 ID4587019690

PECOS Enrollment IDI20231010001737

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.

Hospital Affiliations CMS Care Compare

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

Millcreek Community Hospital

Acute Care Hospitals · Erie, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390198

Location5515 Peach StreetErie, PA 16509 · Erie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

EDEN KIMIAGAROV DO

Student in an Organized Health Care Education/Training Program

5515 PEACH ST
ERIE, PA 16509

Erie County (814) 868-8217

NATALIE A KUJAN LDN

Dietitian, Registered

5515 PEACH ST
ERIE, PA 16509

Erie County (814) 864-4031

DR. GARRETT P JAGEMAN PHARMD

Pharmacist

5515 PEACH ST
ERIE, PA 16509

Erie County (814) 864-4031

ERIN CARLSON PHARMD

Pharmacist

5515 PEACH ST
ERIE, PA 16509

Erie County (814) 868-8267

NICHOLAS PAUL PANICO DO

Student in an Organized Health Care Education/Training Program

5515 PEACH ST
ERIE, PA 16509

Erie County (814) 864-4031

DALTON WADE SUMMERHILL

Student in an Organized Health Care Education/Training Program

5515 PEACH ST
ERIE, PA 16509

Erie County (814) 864-4031

ALYSE CHRISTINE HAGGERTY RN

Registered Nurse (Psychiatric/Mental Health, Adult)

5515 PEACH ST
ERIE, PA 16509

Erie County (814) 864-4031

JOSEPH AARON HOLMES D.O.

Psychiatry & Neurology (Psychiatry)

5515 PEACH ST
ERIE, PA 16509

Erie County (181) 486-8820

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 1639794589. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Where is Richard Wagner located?

Richard Wagner practices at 5515 Peach St, Erie, PA 16509. The listed phone number is (814) 864-4031.

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?

Yes. Richard 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.

What insurance does Richard Wagner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan 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.

Is Richard Wagner affiliated with any hospitals?

According to CMS data, Richard Wagner is affiliated with Millcreek Community Hospital.

When was this NPI record last updated?

The NPPES record for Richard Wagner was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.