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Active NPI 1548242514 Individual Practitioner Male Practitioner

Richard Adam Waggoner , PHYSICIAN ASSISTANT

Physician Assistant - Medical • Wpafb, OH

Professional Overview & Biography Verified Profile Summary

Richard Waggoner, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant - Medical in Wpafb, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wpafb, OH 454335546

Telephone 9372570770

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Wpafb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Wpafb, OH (863 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99284 Emergency department visit with moderate level of medical decision making
57 57 $678.00 $109.04
99285 Emergency department visit for life threatening or functioning severity
55 54 $984.00 $158.40

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 16, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2007

Registered at 4881 SUGAR MAPLE DR, WPAFB, OH 454335546 (Tel: 9372570770)

📍
Updated Business Mailing Address August 16, 2007

Registered at 4881 SUGAR MAPLE DR, WPAFB, OH 454335546 (Tel: 9372570770)

👤
Provider Name / Credentials Updated August 16, 2007

Recorded as RICHARD WAGGONER, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2007

Physician Assistant

🟢
Initial NPI Registration & Enumeration November 16, 2005

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: 1548242514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: August 16, 2007
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Wpafb, OH 454335546

Phone: 9372570770

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.