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

Dr. Richard Alan Wagner, MD

Individual provider Family Medicine Physician · NPI 1619973179

Dr. Richard Alan Wagner, MD is a Family Practice in Evansville, Indiana. Graduated from Indiana University School of Medicine in 1974, 52 years ago. Accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
52
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2005
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

4501 N 4th Ave
Evansville, IN 47710-3529
Phone: (812) 422-7212
Fax: (812) 422-7326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01025468 (IN)

Record details

NPI number1619973179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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