PETER JOHN WAGNER M.D. NPI 1962403774

NPI Information

  • NPI: 1962403774
  • Provider Name: PETER JOHN WAGNER, M.D.
  • Classification: Psychiatry & Neurology - 2084B0040X
  • Specialization: Behavioral Neurology & Neuropsychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 39000 BOB HOPE DR
    RANCHO MIRAGE, CA
    ZIP 92270
  • Phone: (760) 837-8767

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NPI Details

Peter John Wagner, M.D. is a behavioral neurology and neuropsychiatry psychiatry neurology in Rancho Mirage, CA. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. Peter John Wagner, M.D. NPI is 1962403774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

39000 BOB HOPE DR
RANCHO MIRAGE, CA
ZIP 92270-221
Phone: (760) 837-8767
Fax: (760) 837-8806

The NPI 1962403774 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.

  • Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management (HCPCS:90868)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)
  • Treatment using magnetic field to stimulate nerve cells in brain, subsequent motor threshold redetermination with delivery and management (HCPCS:90869)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Psychotherapy with evaluation and management visit, 45 minutes (HCPCS:90836)
  • Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management (HCPCS:90867)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 8/2/2005 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryC130554CALIFORNIAYes
22084B0040XPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry36158COLORADONo
32084P0800XPsychiatry & NeurologyPsychiatry36158COLORADONo
42084P0800XPsychiatry & NeurologyPsychiatryC130554CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111902761MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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