DR. Derrick Durell Wagoner, D.O. is a diagnostic radiology radiology in Edmond, OK with 11 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.
- Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
- Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
- Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
- Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)
- Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
- Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
- Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
- Moderate sedation services by physician also performing a procedure, additional 15 minutes (HCPCS:99153)
The enumeration date for this NPI number is 5/23/2013 and was last updated on 8/31/2018.