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DR. PETER STEVEN WAGONER OD
NPI 1952824211
Optometrist in Westhampton Beach, NY

Active since July 19, 2017PECOS EnrolledAccepts Medicare Assignment
16 OLD RIVERHEAD RD, WESTHAMPTON BEACH, NY 11978(631) 903-3348 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Mar 21, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Peter Steven Wagoner Od NPPES

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

DR. PETER STEVEN WAGONER OD (NPI 1952824211) is an individual optometrist in Westhampton Beach, New York, licensed in New York (009237) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1952824211
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PETER STEVEN WAGONERCredential: OD
Location Address16 OLD RIVERHEAD RDWesthampton Beach, NY 11978-1401
Mailing Address16 Old Riverhead Rd Ste BWesthampton Beach, NY 11978-1401 · (631) 898-5000 · Fax (631) 824-4303
Phone(631) 903-3348
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 19, 2017
Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1952824211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NY · 009237✔ Licensed in WA · OD60770099
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
16 OLD RIVERHEAD RD, Westhampton Beach, NY 11978
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Dr. Peter Steven Wagoner Od 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 ID9335411677
PECOS Enrollment IDI20201117002681
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11978 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%22 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

OCEAN EYE CARE OPTOMETRY PLLC
Clinic/Center (Health Service)
16 OLD RIVERHEAD RD
WESTHAMPTON BEACH, NY 11978
Suffolk County (631) 903-3348

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 Peter Wagoner's NPI number?

The NPI number for Peter Wagoner is 1952824211. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Peter Wagoner located?

Peter Wagoner practices at 16 Old Riverhead Rd, Westhampton Beach, NY 11978. The listed phone number is (631) 903-3348.

What is Peter Wagoner's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Peter Wagoner enrolled in Medicare?

Yes. Peter Wagoner 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 Peter Wagoner accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Peter Wagoner 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 Peter Wagoner was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.