Derrick Durell Wagoner, D.O.
NPI 1760829220ActiveIndividual· Radiology, Diagnostic Radiology· Edmond, OK
Radiology, Diagnostic Radiology (D.O.) in Edmond, Oklahoma, trained at West Virginia School of Osteopathic Medicine (class of 2013). Medicare paid $153,148 for services to 1,183 patients in 2024. Si-Bone, Inc. was the largest of 5 companies reporting payments in 2025, $446.89 in all, mostly food and beverage.
Overview
| NPI | 1760829220 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | May 23, 2013 |
| Last updated in NPPES | Aug 29, 2025 |
| Certified by provider | Aug 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 6324 | OK |
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 - Diagnostic Radiology (NY); Practitioner - Pain Management (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,183 |
|---|---|
| Services billed | 2,377 across 142 procedure codes |
| Paid by Medicare | $153,148 |
Education and affiliations
| Medical school | West Virginia School of Osteopathic Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Pain Management |
Medical groups
- Associated Radiologists of the Finger Lakes PCWellsville, NY · 9 clinicians
- Gershon Pain Specialists LLCVirginia Beach, VA · 8 clinicians
Hospital affiliations
- Arnot Ogden Medical CenterElmira, NY
- Cayuga Medical Center at IthacaIthaca, NY
- Ira Davenport Memorial HospitalBath, NY
Industry payments (Open Payments)
- 2025$446.89 · 8 payments from 5 companies
- 2024$2,001 · 21 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Si-Bone, Inc. | $170.65 | 1 |
| Saluda Medical Americas, Inc. | $150.68 | 2 |
| Abbvie Inc. | $77.50 | 3 |
| Vertex Pharmaceuticals Incorporated | $27.16 | 1 |
| Abbott Laboratories | $20.90 | 1 |
What the 2025 payments were for
- Food and Beverage$446.89 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other diagnostic radiologists in Edmond
- 1992757181
- 1063480333
- 1952662363
- 1760521645
- 1063169514
- 1073565115
- 1194583963
- 1194864074
- 1205925864
- 1225243207
- 1275568842
- 1275584849
All 36 diagnostic radiologists in Edmond · All diagnostic radiologists in Oklahoma