Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter J Wagner, MD

Individual provider Orthopaedic Surgery Physician · NPI 1285995100

Dr. Peter J Wagner, MD is an Orthopedic Surgery in Providence, Rhode Island. Qualified in 2012, 14 years ago. Practices with Norwich Orthopedic Group PC, a 48-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
14
Licensed in
MA, RI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Dudley St Ste 200
Providence, RI 02905
Phone: (401) 330-1476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MD16294 (RI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 253099 (MA)

Record details

NPI number1285995100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2012
Last updated in NPPESJune 26, 2018
Mailing addressPo Box 1119, Providence, RI 02901-1119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Norwich Orthopedic Group Pc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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