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Active NPI 1710507488 Individual Practitioner Male Practitioner

Dr. Evan Jonathon Wagoner , DC

Chiropractor • Wake Forest, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Evan Wagoner, DC is a certified Chiropractor practicing in Wake Forest, NC. With approximately 6 years of clinical experience since graduating from Sherman College Of Straight Chiropractic in 2020, Dr. Wagoner delivers high-quality medical care to the local community at 1408 WOODLAND HILLS TRL.

Dr. Wagoner accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1408 Woodland Hills Trl
Apt 204

Wake Forest, NC 275871778

Telephone 2605731249
Associated Practice Facility / Clinic
🏢 Wagoner Holdings Pa Facility NPI 1679236400

Medicare Profile & Education

Medical School

Sherman College Of Straight Chiropractic

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Wake Forest, NC

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -6.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Wake Forest, NC (2302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagoner (6 Years) 6 Yrs
Wake Forest Specialty Average (12.5 Years) 12.5 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
98941 Chiropractic manipulative treatment, 3-4 spinal regions
279 29 $70.00 $37.42
98940 Chiropractic manipulative treatment, 1-2 spinal regions
200 22 $65.00 $25.88

Medical Specialties & State Licenses

CMS Verified: 2021-10-26
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NC 5176

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 26, 2021

Registered at 1408 WOODLAND HILLS TRL, APT 204, WAKE FOREST, NC 275871778 (Tel: 2605731249)

📍
Updated Business Mailing Address October 26, 2021

Registered at 1408 WOODLAND HILLS TRL, APT 204, WAKE FOREST, NC 275871778 (Tel: 2605731249)

NPI Profile Active April 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2020

Registered at 355 CLUBHOUSE DR, YOUNGSVILLE, NC 275966628 (Tel: 2605731249)

📍
Updated Business Mailing Address April 22, 2020

Registered at 355 CLUBHOUSE DR, YOUNGSVILLE, NC 275966628 (Tel: 2605731249)

👤
Provider Name / Credentials Updated April 22, 2020

Recorded as EVAN WAGONER, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2020

Chiropractor (License #5176 in NC)

🟢
Initial NPI Registration & Enumeration April 22, 2020

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: 1710507488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2020
Last Update: October 26, 2021
Sole Proprietor: Yes

Mailing Address

1408 Woodland Hills Trl, Apt 204

Wake Forest, NC 275871778

Phone: 2605731249

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.