NPPES file of Aug 9, 2026

Peter J. Wagner, M.D.

Orthopaedic Surgery Physician · Providence, RI

Peter J. Wagner, M.D. is an orthopaedic surgery physician with a practice address in Providence, Rhode Island, and NPI 1285995100, issued on Jun 7, 2012. Check the license (Rhode Island MD16294, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1285995100
Name
Peter J. Wagner
Credential
M.D.
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License numbers
MD16294 RI
253099 MA
Self-reported in NPPES; status is on the state search
Practice location
2 Dudley St Ste 200, Providence, RI 02905
Phone
(401) 330-1476
Enumerated
Jun 7, 2012
Record last updated
Jun 26, 2018 (not updated in 8 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20180712003145); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 2 Dudley St Ste 200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kerri Allanbrook, FNP-CFamily Nurse Practitioner1609339605
  2. Steven Bokshan, MDOrthopaedic Surgery Physician1821476607
  3. Eleanor Burstein, MDOrthopaedic Surgery Physician1164045712
  4. Tucker Callanan, MDOrthopaedic Surgery Physician1215502877
  5. Susan Carter, PTPhysical Therapist1538776521
  6. Clark Chen, MDOrthopaedic Surgery Physician1619592748

Verify Peter J. Wagner in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
    Search for license MD16294
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Rhode Island license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

2.3 times the Medicare Part D claims of the average orthopaedic surgery physician in 2024

791 Medicare Part D claims for 295 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 77 claims were for opioids.

  1. Peter Wagner791
  2. Specialty average346

Most prescribed

  1. Gabapentin176 claims
  2. Meloxicam164 claims
  3. Diclofenac Sodium76 claims
  4. Methylprednisolone70 claims
  5. Cyclobenzaprine Hcl52 claims
  6. Oxycodone Hcl48 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $2,483.63

29 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Peter Wagner$2,484
  2. Specialty average$23,023

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

  1. Norwich Orthopedic Group PCWesterly, RI
  2. Ptsma IncPawcatuck, CT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Peter J. Wagner among 138 orthopaedic surgery physician records in Rhode Island

Peter J. Wagner, M.D. is one of 138 orthopaedic surgery physician records with a practice address in Rhode Island. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 50% of them.

  • NPI issued2012 · 50% of these records are older, 48% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated2012 · median 2013 among the 84 with a school on file
  • Record last updated2018 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in Rhode Island

There are 138 orthopaedic surgery physician records in Rhode Island.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Jack Anavian, M.D.Providence, RI 029051427286608
  2. Todd Borenstein, M.D.Providence, RI 029051881914653
  3. Eric Cohen, M.D.Providence, RI 029051245523463
  4. Brian Cohen, M.D.Providence, RI 029051932546058
  5. Craig Eberson, M.D.Providence, RI 029051477518330
  6. Christopher Got, MDProvidence, RI 029051851518732
  7. Roman Hayda, MDProvidence, RI 029051275523649
  8. Scott Mallozzi, M.D.Providence, RI 029051508127895

Common questions

What is Peter J. Wagner, M.D.'s NPI number?

Peter J. Wagner, M.D.'s National Provider Identifier (NPI) is 1285995100, issued on Jun 7, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Peter J. Wagner, M.D. located?

The NPPES record lists a practice address at 2 Dudley St Ste 200, Providence, RI, 02905. Phone: (401) 330-1476. Providers update this record themselves, so call before visiting.

How can I verify Peter J. Wagner, M.D.'s license?

NPPES lists Rhode Island license number MD16294, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Peter J. Wagner, M.D. prescribe under Medicare Part D?

In 2024, Peter J. Wagner, M.D. had 791 Medicare Part D claims for 295 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Peter J. Wagner, M.D.'s MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

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.