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Active NPI 1083906952 Individual Practitioner Male Practitioner

Dr. Matthew David Wagaman , MD

Anesthesiology • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Wagaman, MD is a certified Anesthesiology practicing in Provo, UT. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Wagaman delivers high-quality medical care to the local community at 1034 N 500 W.

Dr. Wagaman maintains professional affiliations with Trinity Health, Mountain West Anesthesia Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of artery tube for blood sampling or infusion through skin, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, ultrasonic guidance imaging supervision and interpretation for insertion of needle. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013577850
Fax 7707016675
Associated Practice Facility / Clinic
🏢 Ihc Health Services, Inc Facility NPI 1235189002

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Provo, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -3.8 yrs vs City Avg
City Avg: 19.8 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Provo, UT (687 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagaman (16 Years) 16 Yrs
Provo Specialty Average (19.8 Years) 19.8 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
36620 Insertion of artery tube for blood sampling or infusion through skin
17 17 $297.00 $42.09
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
12 12 $660.00 $120.57

Medical Specialties & State Licenses

CMS Verified: 2025-09-24
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License ND 22241

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License MI 4301096041

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License UT 9395169-1205

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Hospital & Practice Group Affiliations

Mountain West Anesthesia Llc

1380 E Medical Ctr Dr, St George, UT 847902123

Phone: 4352511000

Mountain West Anesthesia Llc

765 E Marker Place Dr, Spanish Fork, UT 846601396

Phone: 3853445000

Mountain West Anesthesia Llc

150 W Civic Ctr Dr, Sandy, UT 840704284

Phone: 8017272056

Trinity Health

2305 37th Ave Sw, Minot, ND 587017669

Phone: 7014188000

Mountain West Anesthesia Llc

1034 N 500, Provo, UT 846043380

Phone: 8013577850

Secondary Practice Locations

2305 37th Ave Sw

Minot, ND 587017669

Phone: 7014188000

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013177328

Doctor of Medicine (M.D.)

Darby Herrmann , OTR, L

Occupational Therapist

NPI 1013636182

Occupational Therapist Registered, L

Lauren Roser , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023516333

Certified Registered Nurse Anesthetist

Amber Marsh , FNP-C

Nurse Practitioner - Adult Health

NPI 1023575172

Family Nurse Practitioner (Certified)

Andrew Clark , OTR, L

Occupational Therapist

NPI 1023884731

Occupational Therapist Registered, L

Sarah Barnaby , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033400338

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2025

Anesthesiology (License #4301096041 in MI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2025

Anesthesiology (License #22241 in ND)

📍
Updated Practice Location February 27, 2018

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013577850)

📍
Updated Business Mailing Address February 27, 2018

Registered at PO BOX 3570, SALT LAKE CITY, UT 841103570 (Tel: 8017272056)

👤
Provider Name / Credentials Updated February 27, 2018

Recorded as MATTHEW WAGAMAN, MD

NPI Profile Active May 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2011

Registered at 19251 MACK AVE STE 340, GROSSE POINTE WOODS, MI 482362891 (Tel: 3133433823)

📍
Updated Business Mailing Address May 10, 2011

Registered at 1093 JANET AVE, YPSILANTI, MI 481986476 (Tel: 7344851980)

👤
Provider Name / Credentials Updated May 10, 2011

Recorded as MATTHEW WAGAMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2011

Anesthesiology (License #4301096041 in MI)

🟢
Initial NPI Registration & Enumeration May 10, 2011

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: 1083906952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2011
Last Update: September 24, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 3570

Salt Lake City, UT 841103570

Phone: 8017272056

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.