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Active NPI 1952709693 Individual Practitioner Male Practitioner

Dr. Jay Frederick Wagoner , DC

Chiropractor • State College, PA

Professional Overview & Biography Verified Profile Summary

Dr. Jay Wagoner, DC is a registered healthcare professional specializing in Chiropractor in State College, PA. Practice services are available at 454 ROLLING RIDGE DR under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

454 Rolling Ridge Dr
Suite 4

State College, PA 168017696

Telephone 8149544182
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in State College, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
38 Specialists

Practicing in State College, PA (4175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.8% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
133 25 $53.87 $40.49

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License PA DC010942

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1801229893

Doctor of Chiropractic

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2017

Registered at 454 ROLLING RIDGE DR, SUITE 4, STATE COLLEGE, PA 168017696 (Tel: 8149544182)

📍
Updated Business Mailing Address February 28, 2017

Registered at 454 ROLLING RIDGE DR, SUITE 4, STATE COLLEGE, PA 168017696 (Tel: 8149544182)

👤
Provider Name / Credentials Updated February 28, 2017

Recorded as JAY WAGONER, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2017

Chiropractor (License #DC010942 in PA)

NPI Profile Active December 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2014

Registered at 454 ROLLING RIDGE DR, SUITE 4, STATE COLLEGE, PA 168017696 (Tel: 8149544182)

📍
Updated Business Mailing Address December 11, 2014

Registered at 454 ROLLING RIDGE DR, SUITE 4, STATE COLLEGE, PA 168017696 (Tel: 8149544182)

👤
Provider Name / Credentials Updated December 11, 2014

Recorded as JAY WAGONER, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2014

Chiropractor (License #DC010942 in PA)

🟢
Initial NPI Registration & Enumeration December 11, 2014

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: 1952709693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2014
Last Update: February 28, 2017
Sole Proprietor: No

Mailing Address

454 Rolling Ridge Dr, Suite 4

State College, PA 168017696

Phone: 8149544182

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.