2026 NPPES data Surgery Physician NPI 1376509687 MD
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RICK WAGNER, MD

Surgery Physician in WINNER, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
82
Medicare Part D claims · 65 beneficiaries · Surgery Physician avg: 169
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.3301/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

RICK WAGNER, MD reported a CMS MIPS final score of 97.3301/100 — above the 83.1 national average — and filed 82 Medicare Part D claims in 2023.

97.3301/100
MIPS score · +14 vs avg
82
Part D claims, 2023
82%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

RICK WAGNER, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

RICK WAGNER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about RICK WAGNER, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/25/2006

NPI 1376509687

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

82 51% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

97.3301/100 14.230100000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Dakota

How Surgery Physician compares to other specialties among South Dakota providers

South Dakota providers

Surgery Physician share within South Dakota

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within South Dakota

Medicare quality performance — MIPS

RICK WAGNER, MD's 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
97.3301/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 97.3301/100 vs national avg 83.1

0%100%National avg83%97.3%
MIPS final score (Surgery Physician) — 97.3301/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

RICK WAGNER, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 825 E 8TH ST STE 202, WINNER, SD, 57580, with a listed phone of (605) 842-1612. NPI 1376509687 was issued on 04/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WAGNER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 82 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $2K in drug spend, split 18% brand-name and 82% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.3301/100 for the 2023 performance year (Quality 90.2558), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

825 E 8TH ST STE 202
WINNER, SD 57580

Provider Details

NPI 1376509687
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 04/25/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

97.3301
Final Score
Avg: 83.1
90.2558
Quality
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RICK WAGNER, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

FLOYD VALLEY HEALTHCARE
★★★☆☆ 3/5
LE MARS, IA
Critical Access Hospitals
CMS CCN: 161368

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

RICK WAGNER, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 82 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

82
Total Claims
$2K
Total Drug Cost
65
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
88
Total Day Supply
681
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$871
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
0.78
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
12
Gavilyte-C
"Peg3350/Sod Sulf
N/A
Gavilyte-G
"Peg3350/Sod Sulf
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How RICK WAGNER, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

RICK WAGNER, MD's 82 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as WAGNER.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICK WAGNER, MD's specialty?
RICK WAGNER, MD specializes in Surgery Physician and practices in WINNER, South Dakota. Credentials: MD.
How much does RICK WAGNER, MD prescribe under Medicare Part D?
In 2023, RICK WAGNER, MD wrote 82 Medicare Part D claims totaling $2K in drug costs for 65 beneficiaries.
What is RICK WAGNER, MD's Medicare quality score?
RICK WAGNER, MD has a CMS MIPS Final Score of 97.3301/100 (Quality: 90.2558). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICK WAGNER, MD located?
RICK WAGNER, MD is located at 825 E 8TH ST STE 202, WINNER, SD, 57580. Phone: (605) 842-1612.
What is RICK WAGNER, MD's NPI number?
RICK WAGNER, MD's National Provider Identifier (NPI) is 1376509687, issued on 04/25/2006.
Does RICK WAGNER, MD prescribe more brand-name or generic drugs?
RICK WAGNER, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $871 in brand drug costs.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does RICK WAGNER, MD prescribe most often?
Based on 2023 Medicare Part D data, RICK WAGNER, MD's most frequently prescribed drugs include Peg 3350-Electrolyte, Gavilyte-C, Gavilyte-G. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICK WAGNER, MD accept Medicare?
RICK WAGNER, MD appears in CMS Medicare data with 82 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICK WAGNER, MD's credentials?
RICK WAGNER, MD's NPI is 1376509687 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology