DR. DERRICK DURELL WAGONER D.O. NPI 1760829220

NPI Details

DR. Derrick Durell Wagoner, D.O. is a diagnostic radiology radiology in Edmond, OK with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Derrick Durell Wagoner, D.O. NPI is 1760829220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2013

The provider's business location address is:

1800 RENAISSANCE BLVD STE 110
EDMOND, OK
ZIP 73013
Phone: (405) 601-2325

The NPI 1760829220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• X-ray of chest, 1 view (HCPCS:71045)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• Ct scan head or brain without contrast (HCPCS:70450)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Ct scan of chest without contrast (HCPCS:71250)
• X-ray of chest, 2 views (HCPCS:71046)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Ct scan of chest with contrast (HCPCS:71260)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Mri scan of brain without contrast (HCPCS:70551)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Ct scan of lower spine without contrast (HCPCS:72131)
• Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Mri scan of brain before and after contrast (HCPCS:70553)
• X-ray of chest, 2 views (HCPCS:71046)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 5/23/2013 and was last updated on 8/29/2025.

Taxonomy Codes

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Other Identifiers

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