Active NPI 1285995100 Individual Practitioner Male Practitioner

Dr. Peter J Wagner , MD

Orthopaedic Surgery • Providence, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Peter Wagner, MD is a certified Orthopaedic Surgery practicing in Providence, RI. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Wagner delivers high-quality medical care to the local community at 2 DUDLEY ST STE 200.

Dr. Wagner maintains professional affiliations with Ptsma Inc, Norwich Orthopedic Group Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, x-ray of lower and sacral spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St Ste 200

Providence, RI 02905

Telephone 4013301476

Associated Practice Facility / Clinic

🏢 University Orthopedics, Inc. Facility NPI 1235181041

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Providence, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +1.1 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

62 Specialists

Practicing in Providence, RI (154 Statewide)

Telehealth Adoption Rate

3.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

79.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (14 Years) 14 Yrs

Providence Specialty Average (12.9 Years) 12.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	199	$192.41	$132.72
99213 Established patient office or other outpatient visit, typically 15 minutes	180	144	$137.78	$94.47
72110 X-ray of lower and sacral spine, minimum of 4 views	178	177	$146.89	$52.00
72100 X-ray of lower and sacral spine, 2-3 views	91	69	$113.44	$36.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	88	70	$270.34	$182.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$285.00	$173.01
72050 X-ray of upper spine, 4 or 5 views	49	49	$162.03	$51.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$195.60	$113.06
72040 X-ray of upper spine, 2-3 views	25	15	$123.46	$38.98
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$185.00	$81.84
73502 X-ray of hip, 2-3 views	22	22	$108.83	$43.27
72070 X-ray of middle spine, 2 views	18	16	$116.51	$29.39
73564 X-ray of knee, 4 or more views	17	16	$67.84	$42.42
73030 X-ray of shoulder, minimum of 2 views	14	13	$85.71	$24.45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	11	$1892.86	$220.67
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$6912.50	$914.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	391	291	$190.00	$133.24
99213 Established patient office or other outpatient visit, typically 15 minutes	220	184	$135.00	$94.38
72110 X-ray of lower and sacral spine, minimum of 4 views	157	146	$150.42	$50.99
72100 X-ray of lower and sacral spine, 2-3 views	93	66	$131.53	$40.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	13	$13.00	$1.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$285.00	$174.33
72050 X-ray of upper spine, 4 or 5 views	44	42	$181.76	$55.12
73502 X-ray of hip, 2-3 views	36	31	$98.24	$40.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	32	$265.00	$187.47
72040 X-ray of upper spine, 2-3 views	28	16	$139.64	$40.51
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	14	$1312.50	$166.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$195.68	$117.36
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$185.00	$86.29
72082 X-ray of entire middle and lower spine, 2-3 views	16	16	$163.75	$76.92
63048 Partial removal of spine bone with release of spinal cord and/or nerves	16	11	$2001.56	$208.99
20610 Aspiration and/or injection of fluid from large joint	14	14	$257.14	$71.35
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$7053.57	$900.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$240.00	$135.17
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$4600.00	$820.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	537	305	$190.00	$136.22
99213 Established patient office or other outpatient visit, typically 15 minutes	169	148	$135.00	$96.77
72110 X-ray of lower and sacral spine, minimum of 4 views	147	145	$164.00	$57.28
72100 X-ray of lower and sacral spine, 2-3 views	105	73	$138.35	$44.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	93	27	$13.00	$1.11
73502 X-ray of hip, 2-3 views	54	28	$102.36	$43.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$285.60	$178.84
99221 Initial hospital inpatient care per day, typically 30 minutes	41	40	$185.00	$102.32
72040 X-ray of upper spine, 2-3 views	36	17	$145.11	$43.53
20610 Aspiration and/or injection of fluid from large joint	29	27	$248.28	$74.06
72050 X-ray of upper spine, 4 or 5 views	21	21	$194.00	$59.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$229.47	$120.28
22310 Closed treatment of broken spine bones with casting or bracing	19	19	$1500.00	$340.83
76000 Imaging guidance for procedure, 60 minutes or less	17	17	$230.00	$16.12
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	11	$1735.29	$231.26
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$6970.59	$692.21
72070 X-ray of middle spine, 2 views	16	16	$145.31	$33.25
73030 X-ray of shoulder, minimum of 2 views	15	11	$145.08	$32.86
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$4318.18	$675.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	491	255	$128.69	$97.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	228	$186.39	$138.53
72110 X-ray of lower and sacral spine, minimum of 4 views	131	129	$164.00	$56.31
72100 X-ray of lower and sacral spine, 2-3 views	97	52	$138.30	$43.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$286.20	$180.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$195.32	$119.43
73502 X-ray of hip, 2-3 views	47	35	$105.49	$43.56
72050 X-ray of upper spine, 4 or 5 views	46	45	$194.00	$59.01
72040 X-ray of upper spine, 2-3 views	42	18	$145.24	$43.21
72114 X-ray lower and sacral spine, minimum of 6 views	37	37	$255.00	$69.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	17	$13.00	$1.28
73030 X-ray of shoulder, minimum of 2 views	27	18	$153.73	$37.58
20610 Aspiration and/or injection of fluid from large joint	21	18	$235.71	$66.56
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$7603.75	$894.16
72070 X-ray of middle spine, 2 views	15	13	$143.41	$32.85
22310 Closed treatment of broken spine bones with casting or bracing	15	15	$1500.00	$340.59
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	11	$1785.71	$233.15
72082 X-ray of entire middle and lower spine, 2-3 views	12	12	$152.00	$71.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$137.00	$75.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	372	218	$185.00	$117.47
99213 Established patient office or other outpatient visit, typically 15 minutes	170	122	$126.42	$81.72
72114 X-ray lower and sacral spine, minimum of 6 views	130	129	$255.00	$65.93
72100 X-ray of lower and sacral spine, 2-3 views	71	36	$138.52	$41.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$285.00	$175.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	26	$13.00	$1.42
72050 X-ray of upper spine, 4 or 5 views	35	35	$194.00	$56.06
20610 Aspiration and/or injection of fluid from large joint	30	27	$247.50	$71.68
99442 Telephone medical discussion with physician, 11-20 minutes	23	19	$99.30	$81.25
73502 X-ray of hip, 2-3 views	23	19	$110.70	$44.66
73564 X-ray of knee, 4 or more views	16	14	$147.23	$50.58
73030 X-ray of shoulder, minimum of 2 views	16	15	$151.54	$38.03
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$7900.00	$776.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	125	$198.09	$114.10
72114 X-ray lower and sacral spine, minimum of 6 views	82	82	$255.00	$63.80
63048 Partial removal of spine bone with release of spinal cord and/or nerves	52	25	$1407.69	$67.71
22614 Fusion of additional segment of spine	41	18	$2750.00	$193.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$303.55	$170.96
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$127.35	$79.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$329.00	$141.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	26	15	$13.00	$1.55
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$5638.26	$220.07
72050 X-ray of upper spine, 4 or 5 views	22	22	$194.00	$53.13
72100 X-ray of lower and sacral spine, 2-3 views	20	16	$130.66	$36.58
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	16	12	$3375.00	$60.06
73502 X-ray of hip, 2-3 views	15	15	$116.67	$43.96
20610 Aspiration and/or injection of fluid from large joint	15	15	$240.00	$67.67
22612 Fusion of spine in lower back	13	13	$5812.92	$540.61
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$6000.00	$288.05
73030 X-ray of shoulder, minimum of 2 views	12	11	$145.69	$37.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$329.00	$139.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$256.00	$104.30
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	11	$1300.00	$76.81
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$5299.00	$194.73

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI MD16294

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License MA 253099

Hospital & Practice Group Affiliations

Ptsma Inc

37 S Broad St, Pawcatuck, CT 063797909

Phone: 8604951919

Ptsma Inc

37 S Broad St, Pawcatuck, CT 063797909

Phone: 8604951919

Norwich Orthopedic Group Pc

101 Airport Rd, Westerly, RI 028913432

Phone: 8608897345

Norwich Orthopedic Group Pc

82 New Park Ave, North Franklin, CT 062541807

Phone: 8608897345

Norwich Orthopedic Group Pc

326 Washington St, Norwich, CT 063602740

Phone: 8608898331

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Scott Mallozzi , MD

Orthopaedic Surgery

NPI 1508127895

Doctor of Medicine (M.D.)

Dr. Christopher Mccarthy , MD

Orthopaedic Surgery

NPI 1942421458

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location June 26, 2018

Registered at 2 DUDLEY ST STE 200, PROVIDENCE, RI 02905 (Tel: 4013301476)

📍

Updated Business Mailing Address June 26, 2018

Registered at PO BOX 1119, PROVIDENCE, RI 029011119 (Tel: 4014434150)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Orthopaedic Surgery (License #MD16294 in RI)

✅

NPI Profile Active June 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 07, 2012

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

📍

Updated Business Mailing Address June 07, 2012

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

👤

Provider Name / Credentials Updated June 07, 2012

Recorded as PETER WAGNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2012

Orthopaedic Surgery (License #253099 in MA)

🟢

Initial NPI Registration & Enumeration June 07, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285995100

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 07, 2012

Last Update: June 26, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1119

Providence, RI 029011119

Phone: 4014434150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.