Ralph A. Wagner, MD
NPI 1447231881ActiveIndividual· Family Medicine· Shiner, TX
Family Medicine (MD) in Shiner, Texas, trained at University of Texas Medical School at Houston (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $382,617 for 8,078 claims, against $55,005 paid for services in 2024. Viatris Specialty LLC was the largest of 2 companies reporting payments in 2025, $90.10 in all, mostly food and beverage.
Overview
| NPI | 1447231881 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 11, 2005 |
| Last updated in NPPES | Jul 18, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | H4771 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 263 |
|---|---|
| Services billed | 1,467 across 61 procedure codes |
| Paid by Medicare | $55,005 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,078 · 12,888 30-day fills |
|---|---|
| Patients | 398 |
| Total drug cost | $382,617 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at Houston |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Family Practice |
Medical groups
- Shiner Medical LLPShiner, TX · 3 clinicians
- Drs Wagner Andwagner PAShiner, TX · 3 clinicians
Hospital affiliations
- De Tar Hospital NavarroVictoria, TX
- Lavaca Medical CenterHallettsville, TX
- Memorial HospitalGonzales, TX
- Yoakum Community HospitalYoakum, TX
Other facilities
- Advanced Home Health ServicesHome health agency · Seguin, TX
- Excel Complete Home Healthcare IncHome health agency · Victoria, TX
- Shiner Nursing and Rehabilitation CenterNursing home · Shiner, TX
Industry payments (Open Payments)
- 2025$90.10 · 4 payments from 2 companies
- 2024$60.00 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Viatris Specialty LLC | $69.38 | 3 |
| Lilly USA, LLC | $20.72 | 1 |
What the 2025 payments were for
- Food and Beverage$90.10 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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