Derrick Durell Wagoner, D.O.
Diagnostic Radiology Physician · Edmond, OK
Derrick Durell Wagoner, D.O. is a diagnostic radiology physician with a practice address in Edmond, Oklahoma, and NPI 1760829220, issued on May 23, 2013. Check the license (Oklahoma 6324, as entered in NPPES) on the Oklahoma Board of Medical Licensure and Supervision; the Medicare figures below come from public CMS files.
- Name
- Derrick Durell Wagoner
- Credential
- D.O.
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- 6324 OK
Self-reported in NPPES; status is on the state search - Practice location
- 1800 Renaissance Blvd Ste 110, Edmond, OK 73013
- Phone
- (405) 601-2325
- Enumerated
- May 23, 2013
- Record last updated
- Aug 29, 2025
- Medicaid ID
- 200769850A OK
- Medicare enrollment
- Enrolled (PECOS I20190815003092); accepts Medicare assignment
- Medical or professional school
- West Virginia School Of Osteopathic Medicine, 2013
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 404 in Oklahoma → Look up another NPI →
Also registered at 1800 Renaissance Blvd Ste 110
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Olivier Clerk-Lamalice, MD,MSCDiagnostic Radiology Physician1811440878
Verify Derrick Durell Wagoner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersOklahoma Board of Medical Licensure and Supervision
Search for license 6324Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 83.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,001.18
21 payments; by number, the most common kind was food and beverage; the largest payer was SI-Bone, Inc. The 8,048 providers of this specialty with any payment received $2,488.38 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Associated Radiologists OF The Finger Lakes PCVirginia Beach, VA
- Gershon Pain Specialists LLCVirginia Beach, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derrick Durell Wagoner among 404 diagnostic radiology physician records in Oklahoma
Derrick Durell Wagoner, D.O. is one of 404 diagnostic radiology physician records with a practice address in Oklahoma. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 79% of them.
- NPI issued2013 · 79% of these records are older, 20% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2013 · median 2004 among the 254 with a school on file
- Record last updated2025 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Oklahoma practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Diagnostic Radiology Physician providers in Oklahoma
There are 404 diagnostic radiology physician records in Oklahoma.
All 404 in Oklahoma → Every provider in Edmond → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Robin Acker, MDEdmond, OK 730131184692576
- Olivier Clerk-Lamalice, MD,MSCEdmond, OK 730131811440878
- Tina Dickerson, D.O.Edmond, OK 730131609078559
- Lori Fredrick, M.D.Edmond, OK 730131225243207
- Lance Garber, MDEdmond, OK 730131750576732
- Kenneth Harper, MDEdmond, OK 730131972551455
- Laurie Hast, MDEdmond, OK 730131063480333
- Taylor Lancaster, M.D.Edmond, OK 730131760521645
Common questions
What is Derrick Durell Wagoner, D.O.'s NPI number?
Derrick Durell Wagoner, D.O.'s National Provider Identifier (NPI) is 1760829220, issued on May 23, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Derrick Durell Wagoner, D.O. located?
The NPPES record lists a practice address at 1800 Renaissance Blvd Ste 110, Edmond, OK, 73013. Phone: (405) 601-2325. Providers update this record themselves, so call before visiting.
How can I verify Derrick Durell Wagoner, D.O.'s license?
NPPES lists Oklahoma license number 6324, as entered by the provider. Search the Oklahoma Board of Medical Licensure and Supervision at https://www.okmedicalboard.org/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Derrick Durell Wagoner, D.O.'s MIPS final score?
The 2023 MIPS final score is 83.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.